Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anisha Durga Kothari, PA-C

Individual provider Physician Assistant · NPI 1245827856

Anisha Durga Kothari, PA-C is a Physician Assistant in Bloomington, Indiana. Qualified in 2019, 7 years ago. Practices with Laser and Skin Surgery Center of Indiana PC, a 6-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

415 S Landmark Ave
Bloomington, IN 47403-5003
Phone: (812) 932-2387
Fax: (812) 222-0104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003156A (IN)

Record details

NPI number1245827856
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 29, 2020
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Laser And Skin Surgery Center Of Indiana Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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