Individual provider Active NPI

Brett Colin Kodish, M.D., F.A.C.E.P.

  • Emergency Medicine Physician
  • Hilo, HI
National Provider Identifier
1093128944
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-19060 Issued in HI
Practice address
1190 Waianuenue Ave
Hilo, HI 96720
Phone
(808) 932-3200
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-19060 HI Primary

Addresses

Primary practice location

1190 Waianuenue Ave
Hilo, HI 96720

Mailing address

407 Uluniu St Ste 411
Kailua, HI 96734-2544
Phone (808) 261-3326

Other practice location 1

80 Seymour St
Dept of Traumatology/Emergency Medicine
Hartford, CT 06102-8000
Phone (860) 679-4988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC, TN, TX, FL, KY, IN, WI8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20210203000952 MI Practitioner - Emergency Medicine 7911226444 Reassigns benefits to 4 organizations
I20210226000309 SC Practitioner - Emergency Medicine 7911226444 Reassigns benefits to 4 organizations
I20221107002833 TN Practitioner - Emergency Medicine 7911226444 Reassigns benefits to 6 organizations
I20221214000118 TX Practitioner - Emergency Medicine 7911226444 Reassigns benefits to 3 organizations
I20221221001642 FL Practitioner - Emergency Medicine 7911226444 Reassigns benefits to 1 organization
I20240429000454 KY Practitioner - Emergency Medicine 7911226444 Reassigns benefits to 1 organization
I20251015000753 IN Practitioner - Emergency Medicine 7911226444 Reassigns benefits to 1 organization
I20260313000147 WI Practitioner - Emergency Medicine 7911226444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100

3516 E 10TH St
Jeffersonville, IN 47130-9315
Phone (812) 981-8970

7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 859-8000

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 797-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ladd Memorial Hospital CurrentSince Jan 14, 2026 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Apr 1, 2026 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Emergency Medicine Professionals PA Emergency Medicine CurrentSince Feb 6, 2026 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Jul 25, 2021 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Current Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 24, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Apr 1, 2026 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 25, 2024 Accepting new patients
Roper Hospital Inc. CurrentSince Jul 25, 2021 Accepting new patients
Roper Hospital Inc Emergency Medicine CurrentSince Jul 25, 2021 Accepting new patients
Baptist Health Medical Group, Inc. Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Emergency Medicine CurrentSince Jul 25, 2021 Accepting new patients
Roper Hospital Inc Emergency Medicine Current Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 25, 2024 Accepting new patients
West Fairview Emergency Physicians LLC Emergency Medicine CurrentSince Mar 10, 2024 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Oct 28, 2022 Accepting new patients
Aspirus Ironwood Hospital & Clinics Inc. CurrentSince Apr 1, 2026 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 25, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Acute Care Specialists Emergency Medicine CurrentSince Nov 28, 2022 Accepting new patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Jul 25, 2021 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Emergency Medicine CurrentSince Jul 25, 2021 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Union Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Ladd Memorial Hospital CurrentSince Jan 14, 2026 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients

Locations (25 of 29)

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

29980 Network Pl
Chicago, IL 60673

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

Interoperability endpoints

  • Direct secure messaging: bkodish93677@direct.kdhealth.us

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1093128944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST STE 411",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342544",
            "telephone_number": "808-261-3326",
            "fax_number": "808-261-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-932-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour St",
            "address_2": "Dept of Traumatology/Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-679-4988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODISH",
        "first_name": "BRETT",
        "middle_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.E.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-19060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.