Dr Manjunath Shivamanya Kottalgi, MD - Medicare Nephrology in Mesa, AZ

Dr Manjunath Shivamanya Kottalgi, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Mesa, Arizona. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Desert Kidney Associates Plc, Dhhs Ihs Phoenix Area and his current practice location is 612 W Baseline Rd, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 834-9039.

Dr Manjunath Shivamanya Kottalgi is licensed to practice in Arizona (license number 48589) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497082432.

Contact Information

Dr Manjunath Shivamanya Kottalgi, MD
612 W Baseline Rd,
Mesa, AZ 85210-6041
(480) 834-9039
(480) 964-7802

Map and Direction




Physician's Profile

Full NameDr Manjunath Shivamanya Kottalgi
GenderMale
SpecialityNephrology
Experience17 Years
Location612 W Baseline Rd, Mesa, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Manjunath Shivamanya Kottalgi graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1497082432
  • Provider Enumeration Date: 11/12/2009
  • Last Update Date: 05/18/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6608099254
  • Enrollment ID: I20140529000150

Medical Identifiers

Medical identifiers for Dr Manjunath Shivamanya Kottalgi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497082432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 125055930 (Illinois)Secondary
207RN0300XInternal Medicine - Nephrology 48589 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Winslow Dialysis Center (fmc)Winslow, AZDialysis facility
South Phoenix Dialysis (dsi)Phoenix, AZDialysis facility
Banner - University Medical Center PhoenixPhoenix, AZHospital
Banner Casa Grande Medical CenterCasa grande, AZHospital
St. Joseph's Hospital And Medical CenterPhoenix, AZHospital
Summit Healthcare Regional Medical CenterShow low, AZHospital
Whiteriver Phs Indian HospitalWhiteriver, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Desert Kidney Associates Plc428461128626
Dhhs Ihs Phoenix Area266864956763

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Manjunath Shivamanya Kottalgi allows following entities to bill medicare on his behalf.
Entity NameDesert Kidney Associates Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144372905
PECOS PAC ID: 4284611286
Enrollment ID: O20040707000402

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Manjunath Shivamanya Kottalgi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Manjunath Shivamanya Kottalgi, MD
612 W Baseline Rd,
Mesa, AZ 85210-6041

Ph: (480) 834-9039
Dr Manjunath Shivamanya Kottalgi, MD
612 W Baseline Rd,
Mesa, AZ 85210-6041

Ph: (480) 834-9039

Reviews and Comments


Internal Medicine Doctors in Mesa, AZ

Dr. Emmanuel A Bayongan, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202
Phone: 480-543-2034    Fax: 480-512-6089
Dr. Sanjeev Gopal, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 6424 E Broadway Rd, 104-105, Mesa, AZ 85206
Phone: 602-802-8700    Fax: 602-802-8799
Mouhsen H Alhakeem, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 S Dobson Road, Attn Amanda Gump/hospitalist, Mesa, AZ 85202
Phone: 480-412-6788    Fax: 480-412-6848
Dr. Bindu Jayavelu, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 301 S Power Rd Ste 103, Mesa, AZ 85206
Phone: 480-325-7535    Fax: 480-325-7462
Mr. Robert Bobek Arashahi, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 5652 E Baseline Rd, Mesa, AZ 85206
Phone: 480-477-7166    
Mr. Robert P Tully, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 7525 E Broadway Rd, Ste 2, Mesa, AZ 85208
Phone: 480-981-9800    Fax: 480-985-9465
Joshua D Cohen, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 6750 E Baywood Ave, 301, Mesa, AZ 85206
Phone: 480-835-6100    Fax: 480-461-4261

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.