Radha Krishna Kothapalli, MD in Mesa, AZ - Medicare Internal Medicine

Radha Krishna Kothapalli, MD is a medicare enrolled "Hospitalist" physician in Mesa, Arizona. He graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Banner Hospital Based Physicians Arizona Llc and his current practice location is 1400 S Dobson Road, Attn Bmg Hospitalist Team/amanda Gump, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 412-6788.

Radha Krishna Kothapalli is licensed to practice in Arizona (license number 69209) 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 1083963128.

Contact Information

	Radha Krishna Kothapalli, MD
	1400 S Dobson Road, Attn Bmg Hospitalist Team/amanda Gump, Mesa, AZ 85202
	(480) 412-6788
	(480) 412-6848

Map and Direction

Physician's Profile

Full Name	Radha Krishna Kothapalli
Gender	Male
Speciality	Internal Medicine
Experience	18 Years
Location	1400 S Dobson Road, Mesa, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Radha Krishna Kothapalli graduated from medical school in 2007

NPI Data:

NPI Number: 1083963128
Provider Enumeration Date: 09/05/2012
Last Update Date: 07/29/2025

Medicare PECOS Information:

PECOS PAC ID: 9830326909
Enrollment ID: I20241205003318

Medical Identifiers

Medical identifiers for Radha Krishna Kothapalli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083963128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD449838 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	69209 (Arizona)	Secondary
208M00000X	Hospitalist	69209 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Desert Medical Center	Mesa, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Hospital Based Physicians Arizona Llc	3274782487	524

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. Radha Krishna Kothapalli allows following entities to bill medicare on his behalf.

Entity Name	Banner Hospital Based Physicians Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752

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. Radha Krishna Kothapalli 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
Radha Krishna Kothapalli, MD 1400 S Dobson Road, Attn Bmg Hospitalist Team/amanda Gump, Mesa, AZ 85202 Ph: (480) 412-6788	Radha Krishna Kothapalli, MD 1400 S Dobson Road, Attn Bmg Hospitalist Team/amanda Gump, Mesa, AZ 85202 Ph: (480) 412-6788

Reviews and Comments

Hospitalist Doctors in Mesa, AZ

Gregg Alan Smith, D.O. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1042 N Higley Rd, Suite 102-602, Mesa, AZ 85205 Phone: 480-242-6297 Fax: 480-699-3129
Dr. Fayz Yar Khan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave, Mesa, AZ 85209 Phone: 480-354-6463
Dr. Marwan Mohammed Oleiwi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6644 E Baywood Ave, Banner Baywood Medical Center, Mesa, AZ 85206 Phone: 480-321-3900 Fax: 480-321-3840
Dr. Pawan A Dhawan, MBBS Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Bdmc/attn: Bmg Hospitalists, 1400 S Dobson Road, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848
Aaron Embden Flegenheimer, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1400 S Dobson Road, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848
Dr. Katelyn Rheault, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6644 E Baywood Ave, Mesa, AZ 85206 Phone: 602-839-3644
Dr. Lloyd Centino, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Banner Desert Medical Center Attn Hospitalist, 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848

Radha Krishna Kothapalli, MD - Medicare Internal Medicine in Mesa, AZ