Kothai Divya Pragatheeshwar, MD in Tulsa, OK

Kothai Divya Pragatheeshwar, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Tulsa, Oklahoma. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Carolina Kidney Care Pa and her current practice location is 591 E 36th St N, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 619-4400.

Kothai Divya Pragatheeshwar is licensed to practice in Oklahoma (license number 32956) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871933051.

Contact Information

	Kothai Divya Pragatheeshwar, MD
	591 E 36th St N, Tulsa, OK 74106
	(918) 619-4400
	(918) 619-4591

Map and Direction

Physician's Profile

Full Name	Kothai Divya Pragatheeshwar
Gender	Female
Speciality	Nephrology
Experience	15 Years
Location	591 E 36th St N, Tulsa, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kothai Divya Pragatheeshwar graduated from medical school in 2009

NPI Data:

NPI Number: 1871933051
Provider Enumeration Date: 07/02/2013
Last Update Date: 05/29/2019

Medicare PECOS Information:

PECOS PAC ID: 0840524112
Enrollment ID: I20200622001168

Medical Identifiers

Medical identifiers for Kothai Divya Pragatheeshwar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871933051	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	32956 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fayetteville Kidney Center	Fayetteville, NC	Dialysis facility
Fmc Dialysis Services North Ramsey	Fayetteville, NC	Dialysis facility
Cape Fear Valley Medical Center	Fayetteville, NC	Hospital
Southeastern Regional Medical Center	Lumberton, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolina Kidney Care Pa	4587576020	21

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. Kothai Divya Pragatheeshwar allows following entities to bill medicare on her behalf.

Entity Name	Carolina Kidney Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831198761 PECOS PAC ID: 4587576020 Enrollment ID: O20031103000503

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. Kothai Divya Pragatheeshwar 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 Address	Practice Location Address
Kothai Divya Pragatheeshwar, MD Po Box 268838, Oklahoma City, OK 73126-8838 Ph: (918) 619-4400	Kothai Divya Pragatheeshwar, MD 591 E 36th St N, Tulsa, OK 74106 Ph: (918) 619-4400

Reviews and Comments

Internal Medicine Doctors in Tulsa, OK

Sarah Anne Shaw-dressler, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave Ste 100a, Tulsa, OK 74136 Phone: 918-494-8500 Fax: 918-307-5578
Julia Margaret Kwon, DO Nephrology Medicare: Medicare Enrolled Practice Location: 1705 E 19th St Ste 302, Tulsa, OK 74104 Phone: 918-748-7585 Fax: 918-748-7539
Peter Madden, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400
Thao Tran, D.O Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4502 E. 41st Street, Tulsa, OK 74135 Phone: 918-619-4400
Robert Peter Aran, D.O. Nephrology Medicare: Medicare Enrolled Practice Location: 6160 S Yale Ave Ste 100, Tulsa, OK 74136 Phone: 918-497-3300 Fax: 918-497-3365
Robert Dean Okada, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave, Ste 304, Tulsa, OK 74136 Phone: 918-494-5300 Fax: 918-494-5455
Dr. Charles Wade Taylor, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200 Fax: 918-505-3253

Kothai Divya Pragatheeshwar, MD - Medicare Nephrology in Tulsa, OK