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

Soona Kothawala

Individual provider Acute Care Nurse Practitioner · NPI 1326369885

Soona Kothawala is a Nurse Practitioner in Rochester, Michigan. Qualified in 2005, 21 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2010

Practice location Address checks out

1101 W University Dr
Rochester, MI 48307-1863
Phone: (248) 601-6176
Show map & directions

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

Additional practice locations (1)

  • 18101 Oakwood Blvd, Dearborn, MI 48124-4089 — (313) 982-5442

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704214560 (MI)

Record details

NPI number1326369885
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2010
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address907 Wyandotte Ave, Royal Oak, MI 48067-4517

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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