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

Koteswari Kancha, MD

Individual provider Internal Medicine Physician · NPI 1407937170

Koteswari Kancha, MD is a Nephrology in Jacksonville, Florida. Qualified in 1990, 36 years ago. Practices with National Kidney Partners LLP, a 63-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
36
Licensed in
FL
In the registry since
2006
Specialties on file
2
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

13241 Bartram Park Blvd Unit 409
Jacksonville, FL 32258-5237
Phone: (904) 400-6800
Fax: (904) 400-6801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 98954 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 98954 (FL)

Record details

NPI number1407937170
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESDecember 8, 2016

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice National Kidney Partners Llp — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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