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

Shaili Sanjay Kothari

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013594126

Shaili Sanjay Kothari is an Internal Medicine in Danville, Pennsylvania. Graduated from Northeastern Ohio University College of Medicine in 2021, 5 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Trained at
Northeastern Ohio University College of Medicine
Licensed in
PA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

100 N Academy Ave
Danville, PA 17822-1304
Phone: (570) 214-9208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3595 Olentangy River Rd, Columbus, OH 43214-3440 — (614) 566-5456
  • 5230 Centre Ave, Pittsburgh, PA 15232-1304 — (412) 623-2121

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD485678 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013594126
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address100 N Academy Ave, Danville, PA 17822-1304

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Danville