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Deactivated NPI 1346218351 Deactivated / Inactive NPI Female Practitioner

Dr. Janikamma Kothalanka , MD

Internal Medicine • Stuart, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Janikamma Kothalanka has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 08, 2006
NPI Deactivation Date February 07, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Janikamma Kothalanka, MD was a registered Internal Medicine practicing in Stuart, FL. Throughout an active medical career spanning 18 years, Dr. Kothalanka provided care at the practice location at 3441 SE WILLOWGHBY BLVD. until profile deactivation on 2024-02-07.

Historical Medicare Part B clinical services included complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, blood test, comprehensive group of blood chemicals, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3441 Se Willowghby Blvd.
Florida Community Health Centers, Inc.

Stuart, FL 349945060

Telephone 7724035650
Fax 5614729690
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Stuart, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
102 Specialists

Practicing in Stuart, FL (10650 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
16 16 $28.00 $7.61
80053 Blood test, comprehensive group of blood chemicals
14 14 $32.00 $10.35
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $160.00 $87.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $92.00 $54.83

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME66136

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Candice Politi , CNM

Advanced Practice Midwife

NPI 1053749697

Certified Nurse Midwife

Mary Douglas , CNM

Advanced Practice Midwife

NPI 1275563314

Certified Nurse Midwife

Dr. Alida Zayas , DMD

Dentist - General Practice

NPI 1639148968

Doctor of Dental Medicine

NPI 1740277979

MDFAAP

Donnie Rubert , ARNP

Nurse Practitioner - Family

NPI 1740668433

Advanced Registered Nurse Practitioner

Dr. Joadner Isma , MD

General Practice

NPI 1912375239

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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NPI Profile Deactivated February 07, 2024

Record deactivated on February 07, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2023

Internal Medicine (License #ME66136 in FL)

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Updated Practice Location November 25, 2020

Registered at CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 865040649 (Tel: 9287298000)

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Updated Business Mailing Address November 25, 2020

Registered at 30 S NAVAJO DR, PAGE, AZ 860401388

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2020

Internal Medicine (License #21736 in AZ)

NPI Profile Active October 11, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 11, 2016

Registered at 3441 SE WILLOWGHBY BLVD., FLORIDA COMMUNITY HEALTH CENTERS, INC., STUART, FL 349945060 (Tel: 7724035650)

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Updated Business Mailing Address October 11, 2016

Registered at 5827 CORPORATE WAY, FLORIDA COMMUNITY HEALTH CENTERS, INC., WEST PALM BEACH, FL 334072000 (Tel: 5618449443)

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Provider Name / Credentials Updated October 11, 2016

Recorded as JANIKAMMA KOTHALANKA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2016

Internal Medicine (License #ME66136 in FL)

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Initial NPI Registration & Enumeration March 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346218351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2006
Last Update: October 11, 2016
Deactivation Date: February 07, 2024

Mailing Address

5827 Corporate Way, Florida Community Health Centers, Inc.

West Palm Beach, FL 334072000

Phone: 5618449443

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.