Anjaiah Kodityal, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

H8708 Issued in TX

Practice address

420 E 6TH St
Suite 205
Odessa, TX 79761-4529

Phone

(432) 337-0555

Fax

(432) 337-0558

NPI assigned

Aug 5, 2006

Last updated

Dec 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

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

Pulmonary Disease

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Big Bend Medical GroupGroup PAC ID 2163326281, 46 clinicians

Odessa Sleep AssociatesGroup PAC ID 1153467071, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Hospital Hospital, Odessa, TX, CCN 450132
• Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661
• Big Bend Regional Medical Center Hospital, Alpine, TX, CCN 451378
• Continuecare Hospital at Medical Center Odessa Long-term care hospital, Odessa, TX, CCN 452121

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anjaiah.kodityal.1@11390.direct.athenahealth.com
• Direct secure messaging: anjaiah.kodityal.1@7825.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7825/brand/1/csg/1/fhir/r4

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

• Big Bend Medical Group

  dba Family Medical Center

  • Surgery Physician
  • Big Spring, TX
  • NPI 1811973282
  Medicare reassignment Care Compare group NPD
• Odessa Sleep Associates

  • Sleep Disorder Diagnostic Clinic/Center
  • Odessa, TX
  • NPI 1013155852
  Medicare reassignment Care Compare group NPD
• Comprehensive Hospitalist Services of Texas PLLC

  • Hospitalist Physician
  • Odessa, TX
  • NPI 1295062198
  Medicare reassignment NPD
• Big Bend Medical Group

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1790592004
  NPD
• Comprehensive Hospitalist Services of Texas PLLC

  • Hospitalist Physician
  • Corsicana, TX
  • NPI 1396142394
  NPD
• Comprehensive Hospitalist Services of Texas, PLLC

  • Internal Medicine Physician
  • Corsicana, TX
  • NPI 1124423348
  NPD

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

• Big Bend Hospital Corporation

  dba Big Bend Regional Medical Center

  • Critical Access Hospital
  • Alpine, TX
  • NPI 1356312243
  Care Compare affiliation
• Continuecare Hospital at Odessa, Inc.

  dba ContinueCare Hospital at Medical Center Odessa

  • Long Term Care Hospital
  • Odessa, TX
  • NPI 1295121457

  Long-term care hospital

  Care Compare affiliation
• Ector County Hospital District

  dba MCH Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  dba Medical Center Hospital

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation
• Odessa Texas Hospital Company LLC

  dba Odessa Regional Medical Center

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1306673009
  Care Compare affiliation

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1174532386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 6TH ST",
            "address_2": "SUITE 205",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614529",
            "telephone_number": "432-337-0555",
            "fax_number": "432-337-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 6TH ST",
            "address_2": "SUITE 205",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614529",
            "telephone_number": "432-337-0555",
            "fax_number": "432-337-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODITYAL",
        "first_name": "ANJAIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H8708",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "H8708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131791905",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5241453",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OOJ89Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290005045",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "116990100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lora Hawkins Kirkland, M.S.
• Winnie Chepkorir Kirui, PHARMD
• Suzan Diane Kitchens, RN
• Morgan Elizabeth Kizer, M.S.CCC.SLP
• Lance Kneese, PHARMD
• Meera Kodityal, MD
• Ramachandra Kolluru, MD
• Samrajyam Kolluru, MD
• Samata Kona
• Christian Korner, PTA

• Pulmonary Disease Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.