Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Radha Krishna Kothapalli, MD

Individual provider Internal Medicine Physician · NPI 1083963128

Radha Krishna Kothapalli, MD is an Internal Medicine in Mesa, Arizona. Qualified in 2007, 19 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group and accepts Medicare assignment. Licensed in Arizona and Pennsylvania.

Years since qualifying
19
Licensed in
AZ, PA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 S Dobson Road Attn Bmg Hospitalist Team/amanda Gump
Mesa, AZ 85202
Phone: (480) 412-6788
Fax: (480) 412-6848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 69209 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD449838 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 69209 (AZ)

Record details

NPI number1083963128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESJuly 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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