DR. ARPAN KOTHARI D.O.
NPI 1649566621
Emergency Medicine in Kettering, OH
NPI Status: Active since June 28, 2011
Contact Information
3535 SOUTHERN BLVD
KETTERING, OH
ZIP 45429
Phone: (937) 298-4331
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About ARPAN KOTHARI
This page provides the complete NPI Profile along with additional information for Arpan Kothari, a provider established in Kettering, Ohio with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1649566621 assigned on June 2011. The practitioner's primary taxonomy code is 207P00000X with license number 34.011678 (OH). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1649566621
- Provider Name
- DR. ARPAN KOTHARI D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3535 SOUTHERN BLVD KETTERING, OH 45429
- Location Phone
- (937) 298-4331
- Mailing Address
- 3131 NEWMARK DR STE 220 MIAMISBURG, OH 45342
- Mailing Phone
- (937) 436-4658
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-28-2011
- Last Update Date
- 05-05-2020
- Code Navigator
Location Map
Secondary Locations
- 4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
(937) 384-8791 - 5450 Fort St
Trenton, MI 48183
(734) 671-3800 - 100 Kettering Way
Franklin, OH 45005
(937) 458-4700 - 600 W Main St
Troy, OH 45373
(937) 980-7010 - 1141 N Monroe Dr
Xenia, OH 45385
(937) 352-2500 - 8701 Old Troy Pike
Huber Heights, OH 45424
(937) 558-3338 - 450 Washington Jackson Rd Ste F
Eaton, OH 45320
(937) 456-8376 - 405 W Grand Ave
Dayton, OH 45405
(937) 723-3211 - 1997 Miamisburg Centerville Rd
Centerville, OH 45459
(937) 401-6228 - 3535 Pentagon Blvd
Beavercreek, OH 45431
(937) 702-4500 - 6147 State Route 122
Middletown, OH 45005
(513) 261-3410
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 34.011678
- License State
- OH
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 5101019557 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0131937 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Arpan Kothari is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 45429 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
| Participation in MOC Part IV | Yes | N/A |
| Participation in Maintenance of Certification (MOC) Part IV, such as the American Board of Internal Medicine (ABIM) Approved Quality Improvement (AQI) Program, National Cardiovascular Data Registry (NCDR) Clinical Quality Coach, Quality Practice Initiative Certification Program, American Board of Medical Specialties Practice Performance Improvement Module or ASA Simulation Education Network, for improving professional practice including participation in a local, regional or national outcomes registry or quality assessment program. Performance of monthly activities across practice to regularly assess performance in practice, by reviewing outcomes addressing identified areas for improvement and evaluating the results. | ||
| Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement. | Yes | N/A |
| Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement. | ||
Reviews for DR. ARPAN KOTHARI D.O.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 5 | 6 | 6 | 6 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 10 | 6 | 12 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 0 + 6 + 1 + 2 + 6 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1649566621 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720089352 | JAMES ALAN BRUCE M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 435-6136 |
| 1942286851 | KENNETH W BROCK MD Individual | Personal Emergency Response Attendant | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 395-8166 |
| 1801873153 | JAMES J HOWARD MD Individual | Emergency Medicine | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 436-4658 |
| 1316924616 | KEITH D GOLDBLUM MD Individual | Emergency Medicine | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 436-4658 |
| 1114904018 | JOHN S KASPER DO Individual | Personal Emergency Response Attendant | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 395-8166 |
| 1205815404 | DR. ROY WALTER HAINES M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1205815412 | DR. DIANE F IMBROGNO M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1245219427 | DR. MICHAEL EDWARD GIFFORD M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1457330565 | DR. SEONGBAE KIM M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1629057732 | DR. PATRICIA S KNOPF M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1528048592 | DR. SALLY A MASHBURN M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1710967781 | DR. DAVID J PAPPENFUS M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1780664623 | DR. RONALD S WARGACKI M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1518947597 | DR. RANDALL R RALSTON M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1942280201 | DR. DAVID RICHARD VUKIN M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1316912306 | RICHARD THOMAS BEERS M.D. Individual | Physical Medicine & Rehabilitation | 3535 SOUTHERN BLVD DEPT OF PMR KETTERING, OH 45429 (937) 395-8666 |
| 1912973728 | AUGUSTUS B BALES CRNA Individual | Nurse Anesthetist, Certified Registered | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1578539094 | VICKI L CLARK CRNA Individual | Nurse Anesthetist, Certified Registered | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1134196918 | VICKI S DURSCH CRNA Individual | Nurse Anesthetist, Certified Registered | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1558338111 | TIMOTHY J COLLINS CRNA Individual | Nurse Anesthetist, Certified Registered | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649566621, enumerated in the NPI registry as an "individual" on June 28, 2011
The provider is located at 3535 Southern Blvd Kettering, Oh 45429 and the phone number is (937) 298-4331
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 28, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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