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

Dr. Koteswara R Pothineni, MD

Individual provider Internal Medicine Physician · NPI 1093903726

Dr. Koteswara R Pothineni, MD is an Interventional Cardiology in Baton Rouge, Louisiana. Qualified in 2006, 20 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama and Louisiana.

Years since qualifying
20
Licensed in
AL, LA
In the registry since
2007
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

7777 Hennessy Blvd Ste 1000
Baton Rouge, LA 70808-4370
Phone: (225) 767-3900
Fax: (225) 766-2226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 433 Plaza St Ste 514, Bogalusa, LA 70427-3729 — (985) 730-7023
  • 1051 Gause Blvd Ste 320, Slidell, LA 70458-2988 — (985) 641-7577

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 204177 (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 27587 (AL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 204177 (LA)

Record details

NPI number1093903726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 9, 2007
Last updated in NPPESMarch 7, 2023
Certification dateApril 21, 2021

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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