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

Chaitanya Krishna Kotagiri, MD

Individual provider Family Medicine Physician · NPI 1588825228

Chaitanya Krishna Kotagiri, MD is a Family Practice in Farmington, Missouri. Qualified in 2003, 23 years ago. Practices with Physician Groups Lc, a 524-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
23
Licensed in
IL, MO
In the registry since
2008
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

1103 W Liberty St
Farmington, MO 63640-1921
Phone: (573) 756-6751
Fax: (573) 756-6807
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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 2011017860 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2011017860 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125-054995 (IL)

Record details

NPI number1588825228
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2008
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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