| Ketan Hashmukh Kothari, DPM | |
|
1546 Pratt Street, Philadelphia, PA 19124-1923 | |
| (215) 533-8555 | |
| (215) 533-8656 |
| Full Name | Ketan Hashmukh Kothari |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 28 Years |
| Location | 1546 Pratt Street, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134280795 | NPI | - | NPPES |
| 0018311680001 | Medicaid | PA | |
| K0830767 | Other | PA | BLUE SHIELD |
| 246839 | Other | PA | FIRST HEALTH |
| U81914 | Other | UNITED | |
| 480032950 | Other | RAIL ROAD MEDICARE | |
| 3075350 | Other | PA | AETNA |
| 30004716 | Other | PA | KEYSTONE MERCY |
| U8914 | Other | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | SC004645L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Heath | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Frankford Podiatry Associates, Pc | 2769675867 | 3 |
| Provider Name | Frankford Podiatry Associates, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841349438 PECOS PAC ID: 2769675867 Enrollment ID: O20101021000617 |
| Mailing Address | Practice Location Address |
|---|---|
| Ketan Hashmukh Kothari, DPM 1546 Pratt Street, Philadelphia, PA 19124-1923 Ph: (215) 533-8555 | Ketan Hashmukh Kothari, DPM 1546 Pratt Street, Philadelphia, PA 19124-1923 Ph: (215) 533-8555 |
Regina Snow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4284 | |
Josephine Depalma Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2706 N 5th St, Philadelphia, PA 19133 Phone: 215-425-5060 Fax: 215-483-9679 | |
Ms. Jennifer Chang - Ching Van, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 148 N 8th St, Philadelphia, PA 19107 Phone: 215-777-5808 Fax: 215-777-5825 | |
Dr. Shaun M Latshaw, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8835 Germantown Ave, Philadelphia, PA 19118 Phone: 610-428-2427 | |
Dr. Noah Jan Goldman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7919 Verree Rd, Philadelphia, PA 19111 Phone: 215-742-8383 | |
Dr. Victoria M. Adeniran, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5800 Ridge Avenue, Philadelphia, PA 19128 Phone: 215-483-9900 | |
Debbie Park, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-483-9900 |