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



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

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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

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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

News Archive

USFDA approves Sun Pharma's generic Keppra Injection ANDA

Sun Pharma announced that USFDA has granted an approval for its Abbreviated New Drug Application (ANDA) to market a generic version of Keppra® Injection, levetiracetam injection.

Couple renews multi-million dollar commitment to screen newborn babies for SCID disorders

Frustrated with the slow pace of implementation of Newborn Screening for Severe Combined Immune Deficiency (SCID), Vicki and Fred Modell renewed a multi-million dollar commitment to screen every baby born in every state for this life threatening condition, often referred to as "Bubble Boy" disease.

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Read more News

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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

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