Kothai Divya Pragatheeshwar, MD - Medicare Nephrology 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



Physician's Profile

Full NameKothai Divya Pragatheeshwar
GenderFemale
SpecialityNephrology
Experience15 Years
Location591 E 36th St N, Tulsa, Oklahoma
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1871933051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 32956 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fayetteville Kidney CenterFayetteville, NCDialysis facility
Fmc Dialysis Services North RamseyFayetteville, NCDialysis facility
Cape Fear Valley Medical CenterFayetteville, NCHospital
Southeastern Regional Medical CenterLumberton, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolina Kidney Care Pa458757602021

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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. Kothai Divya Pragatheeshwar allows following entities to bill medicare on her behalf.
Entity NameCarolina Kidney Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831198761
PECOS PAC ID: 4587576020
Enrollment ID: O20031103000503

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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. 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 AddressPractice 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

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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

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