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

Shani Kotadia, MD

Individual provider Nephrology Physician · NPI 1619256807

Shani Kotadia, MD is a Nephrology in Tucson, Arizona. Qualified in 2006, 20 years ago. Practices with Southwest Kidney Institute PLC, a 100-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Pennsylvania.

Years since qualifying
20
Licensed in
AZ, PA
In the registry since
2011
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

1645 N Swan Rd
Tucson, AZ 85712-4046
Phone: (520) 623-2642
Fax: (520) 327-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 450 S Ocotillo Ave, Benson, AZ 85602-6403 — (520) 623-2642
  • 75 Colonia De Salud Ste 200b, Sierra Vista, AZ 85635-2486 — (520) 623-2642
  • 10350 E Drexel Rd Ste 204, Tucson, AZ 85747-9405 — (520) 623-2642

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MT199210 (PA)
Nephrology Physician Taxonomy 207RN0300X · Licence 52141 (AZ)

Record details

NPI number1619256807
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2011
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021
Mailing address2149 E Warner Rd Ste 102, Tempe, AZ 85284-3495

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southwest Kidney Institute Plc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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