Active NPI 1124094073 Individual Practitioner Female Practitioner

Dr. Rupal Kothari , DO

Internal Medicine - Gastroenterology • Malvern, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rupal Kothari, DO is a certified Internal Medicine - Gastroenterology practicing in Malvern, PA. With approximately 29 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1997, Dr. Kothari delivers high-quality medical care to the local community at 325 CENTRAL AVE.

Dr. Kothari is affiliated with Regional Gastroenterology Associates Of Lancaster, Ltd. and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, vedolizumab, intravenous, 1 mg, removal of polyps or growths of large bowel using an endoscope with mechanical snare, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

325 Central Ave
2nd Floor

Malvern, PA 193553265

Telephone 6106446755

Fax 6106472063

Associated Practice Facility / Clinic

🏢 Main Line Endoscopy Center Llc Facility NPI 1871569780

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Gastroenterology in Malvern, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +8.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 29.9 Yrs

Regional Practice Density

14 Specialists

Practicing in Malvern, PA (1073 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kothari (29 Years) 29 Yrs

Malvern Specialty Average (20.5 Years) 20.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	4,500	13	$60.00	$22.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	255	251	$1025.00	$255.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	143	95	$85.00	$50.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	118	114	$645.00	$100.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	101	93	$240.00	$131.90
99213 Established patient office or other outpatient visit, typically 15 minutes	94	86	$185.00	$93.22
45380 Biopsy of large bowel using an endoscope	67	66	$875.00	$107.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	62	$270.00	$131.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	38	$120.00	$79.29
99221 Initial hospital inpatient care per day, typically 30 minutes	51	51	$150.00	$83.76
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	44	44	$750.00	$172.83
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$530.00	$110.65
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$750.00	$159.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$120.00	$58.15
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	16	14	$325.00	$57.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$410.00	$161.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$270.00	$114.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	5,100	12	$45.29	$21.68
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	182	182	$1025.00	$260.41
99213 Established patient office or other outpatient visit, typically 15 minutes	162	137	$185.00	$94.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	96	94	$645.00	$98.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	81	$270.00	$131.89
45380 Biopsy of large bowel using an endoscope	79	79	$875.00	$106.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	78	53	$85.00	$51.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	41	$120.00	$77.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$240.00	$134.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$410.00	$169.47
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$750.00	$184.30
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$150.00	$85.88
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	18	13	$325.00	$66.09
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$530.00	$111.27
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$750.00	$180.56
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$750.00	$176.24
76700 Ultrasound of abdomen	13	13	$206.92	$84.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$270.00	$116.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	6,000	13	$35.00	$21.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	226	222	$1025.00	$268.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	157	107	$120.00	$73.63
99213 Established patient office or other outpatient visit, typically 15 minutes	132	119	$185.00	$96.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	116	88	$85.00	$40.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	104	101	$645.00	$102.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	84	$292.22	$133.67
45380 Biopsy of large bowel using an endoscope	80	79	$875.00	$83.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	51	$240.00	$139.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$410.00	$173.37
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$150.00	$105.09
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$750.00	$191.34
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$750.00	$180.26
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$530.00	$114.43
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	21	14	$325.00	$73.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$270.00	$119.48
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$750.00	$188.05
76700 Ultrasound of abdomen	13	13	$195.00	$88.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	227	222	$1025.00	$275.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	191	104	$120.00	$76.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	111	108	$645.00	$104.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	101	$271.28	$136.64
99213 Established patient office or other outpatient visit, typically 15 minutes	103	94	$185.00	$98.89
45380 Biopsy of large bowel using an endoscope	85	85	$875.00	$89.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	65	$240.00	$144.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$410.00	$177.86
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	36	36	$750.00	$189.26
76700 Ultrasound of abdomen	25	25	$201.20	$94.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	17	$85.00	$40.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$270.00	$121.63
45378 Diagnostic exam of large bowel using a flexible endoscope	16	15	$750.00	$185.53
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$530.00	$117.71
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$750.00	$188.55
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$150.00	$107.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	3,900	12	$31.54	$20.10
99213 Established patient office or other outpatient visit, typically 15 minutes	201	166	$185.00	$81.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	188	114	$120.00	$77.99
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	165	165	$1025.00	$283.41
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	100	95	$645.00	$103.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	83	$240.00	$149.04
45380 Biopsy of large bowel using an endoscope	59	58	$875.00	$88.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$273.50	$116.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$270.00	$117.57
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	22	22	$750.00	$195.52
96413 Infusion of chemotherapy into a vein up to 1 hour	18	14	$302.00	$147.65
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$750.00	$193.01
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$530.00	$116.93
76700 Ultrasound of abdomen	11	11	$195.00	$91.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	158	$95.00	$78.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	205	112	$95.00	$77.13
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	182	181	$925.00	$283.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	109	102	$536.70	$114.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	105	104	$150.00	$144.77
45380 Biopsy of large bowel using an endoscope	71	70	$694.37	$107.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$130.00	$115.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$150.00	$115.93
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$800.00	$198.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	21	$60.00	$41.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$196.00	$175.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$65.00	$48.32
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$530.77	$120.74
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$800.00	$168.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1745 Injection, infliximab, excludes biosimilar, 10 mg	1,000	14	$125.00	$83.04
99213 Established patient office or other outpatient visit, typically 15 minutes	290	212	$95.00	$77.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	102	$95.00	$76.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	159	157	$925.00	$281.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	110	107	$150.00	$144.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	103	103	$492.23	$104.55
45380 Biopsy of large bowel using an endoscope	59	57	$605.08	$97.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$130.00	$112.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$150.00	$115.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	29	$60.00	$41.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$196.00	$175.09
96413 Infusion of chemotherapy into a vein up to 1 hour	25	20	$325.00	$153.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$65.00	$46.81
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$800.00	$204.71
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$800.00	$193.92
96415 Administration of chemotherapy into vein, each additional hour	17	14	$100.00	$33.35
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$580.00	$132.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	308	212	$95.00	$77.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	175	120	$85.74	$75.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	153	151	$918.95	$272.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	129	126	$150.00	$144.09
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	107	103	$504.21	$111.42
45380 Biopsy of large bowel using an endoscope	62	62	$623.79	$108.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$196.00	$167.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	42	$130.00	$113.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$150.00	$115.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$65.00	$46.33
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$572.73	$118.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	20	$52.38	$41.30
96413 Infusion of chemotherapy into a vein up to 1 hour	15	13	$325.00	$148.63
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$800.00	$203.11

Medical Specialties & State Licenses

Internal Medicine - Gastroenterology Primary Specialty

NUCC Taxonomy Code: 207RG0100X

State License PA OS009881-L

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0019723080002 (PA)

Commercial Insurance / Payer ID Railroad Medicare

100017249 (PA)

Hospital & Practice Group Affiliations

Regional Gastroenterology Associates Of Lancaster, Ltd.

650 Carnegie Blvd, Malvern, PA 193558519

Phone: 6106446755

Regional Gastroenterology Associates Of Lancaster, Ltd.

2112 Harrisburg Pike, Lancaster, PA 176012644

Phone: 7178694600

Practice Associates & Co-Workers

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

21 Associated Practitioners

Lisa Meeder , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013289172

Certified Registered Nurse Anesthetist

Dr. Michael Wolfson , MD

Internal Medicine - Gastroenterology

NPI 1073580940

Doctor of Medicine (M.D.)

Dr. Steven Goldstein , MD

Internal Medicine - Gastroenterology

NPI 1144269457

Doctor of Medicine (M.D.)

Dr. Maura Barr , DO

Internal Medicine - Gastroenterology

NPI 1275869752

Doctor of Osteopathic Medicine (D.O.)

Dr. Anil Sharma , MD

Internal Medicine - Gastroenterology

NPI 1356393797

Doctor of Medicine (M.D.)

Margaret Richey

Physician Assistant

NPI 1386451888

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 05, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2009

Registered at 325 CENTRAL AVE, 2ND FLOOR, MALVERN, PA 193553265 (Tel: 6106446755)

📍

Updated Business Mailing Address August 05, 2009

Registered at PO BOX 350, SELLERSVILLE, PA 189600350 (Tel: 2157232333)

👤

Provider Name / Credentials Updated August 05, 2009

Recorded as RUPAL KOTHARI, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2009

Internal Medicine (License #OS009881-L in PA)

🟢

Initial NPI Registration & Enumeration February 28, 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: 1124094073

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 28, 2006

Last Update: August 05, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 350

Sellersville, PA 189600350

Phone: 2157232333

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.