| Surekha Venkata Kotapothula, MD | |
|
4th And Walnut Streets, 3rd Floor, Lebanon, PA 17042-6123 | |
| (717) 270-4876 | |
| (717) 270-3875 |
| Full Name | Surekha Venkata Kotapothula |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 4th And Walnut Streets, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184800781 | NPI | - | NPPES |
| 102327998 0004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD437413 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | MD437413 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkeley Medical Center | Martinsburg, WV | Hospital |
| Jefferson Medical Center | Ranson, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Hospital Inc | 3375444524 | 95 |
| Entity Name | City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942503164 PECOS PAC ID: 3375444524 Enrollment ID: O20040120000306 |
| Entity Name | Hospitalist Medicine Physicians Of West Virginia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649575101 PECOS PAC ID: 2860674488 Enrollment ID: O20110303000157 |
| Entity Name | Hospitalist Medicine Physicians Of West Virginia- Tcg Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386122844 PECOS PAC ID: 1557748092 Enrollment ID: O20220523000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Surekha Venkata Kotapothula, MD Po Box 300, Lebanon, PA 17042-0300 Ph: (717) 270-7780 | Surekha Venkata Kotapothula, MD 4th And Walnut Streets, 3rd Floor, Lebanon, PA 17042-6123 Ph: (717) 270-4876 |
Nagamani Pullepu, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-4876 | |
Firas Alawawdeh, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042 Phone: 717-270-7500 Fax: 717-270-3875 | |
Dr. Helen Funmilayo Makinde-ajayi, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 | |
Alex Mathew Jr., Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 30 N 4th St, Lebanon, PA 17046 Phone: 717-270-1949 | |
Tsegay Goitom, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 3, Lebanon, PA 17042 Phone: 717-270-4876 | |
Nair M Maranhao, PA-C Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-4876 | |
Simran Pandey, DO Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-4876 Fax: 717-270-3875 |