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
Mailing address1400 S Dobson Road, Attn Bmg Hospitalist Team/Amanda Gump, Mesa, AZ 85202

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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