Sangeetha Kodoth, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

35779 Issued in TN

Practice address

1346 Dowell Springs Blvd
Knoxville, TN 37909-2453

Phone

(865) 588-2753

Fax

(865) 588-7418

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Specialists of Knoxville PLLCGroup PAC ID 8022029255, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kodoth.sangeetha.010.0420038@ask.meditab.direct-ci.com
• Direct secure messaging: kodoth.sangeetha.012.0420038@ask.meditab.direct-ci.com
• Direct secure messaging: kodoth.sangeetha.008.0420038@ask.meditab.direct-ci.com
• Direct secure messaging: kodoth.sangeetha.009.0420038@ask.meditab.direct-ci.com
• Direct secure messaging: kodoth.sangeetha.017.0420038@ask.meditab.direct-ci.com
• Direct secure messaging: kodoth.sangeetha.003.0420038@ask.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allergy Specialists of Knoxville PLLC

  • Allergy & Immunology Physician
  • Knoxville, TN
  • NPI 1275586224
  Medicare reassignment Care Compare group NPD
• Dream Care TN PLLC

  dba Dream Care Sleep

  • Sleep Disorder Diagnostic Clinic/Center
  • Knoxville, TN
  • NPI 1821970229
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1063465573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092453",
            "telephone_number": "865-588-2753",
            "fax_number": "865-588-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092453",
            "telephone_number": "865-588-2753",
            "fax_number": "865-588-7418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Hospital Dr Ste G50",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377605279",
            "country_code": "US",
            "telephone_number": "865-588-2753",
            "fax_number": "865-588-7418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODOTH",
        "first_name": "SANGEETHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "35779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3873642",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009338",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kodoth.Sangeetha.003.0420038@ASK.meditab.direct-ci.com",
            "affiliation": "N",
            "address_1": "1346 Dowell Springs Blvd",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379092453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kodoth.Sangeetha.017.0420038@ASK.meditab.direct-ci.com",
            "affiliation": "N",
            "address_1": "120 Hospital Dr Ste G50",
            "city": "Jefferson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377605279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristi Kocer
• Rachel Marie Koch, RN
• Hannah Elizabeth Kochanski
• Olivia Anne Kochevar
• Brandon David Kocurek, RN
• Pamela Rose Koebcke, M.S., SLP
• Carrie Elizabeth Koehler, LPC
• Alexandra Koenig, DNP, CRNA
• Thomas Martin Koenig, M.D.
• Taylor Koenigs, RDN

• Allergy & Immunology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Allergy & Immunology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.