Active NPI
Vikas Nava Kodali, MD
- Psychiatry Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A201674
- Practice address
- 100 Pine St Ste 1250
San Francisco, CA 94111-5235 - Phone
- (833) 351-8255
- NPI assigned
- Apr 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301514528 | MI | |
| Psychiatry Physician | 2084P0800X | 334091 | NY | |
| Psychiatry Physician | 2084P0800X | DR.0074577 | CO | |
| Psychiatry Physician | 2084P0800X | A201674 | CA | Primary |
Addresses
Primary practice location
100 Pine St Ste 1250
San Francisco, CA 94111-5235
Mailing address
PO Box 24449
New York, NY 10087-0589
Phone (833) 351-8255
Other practice location 1
109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255
Other practice location 2
4200 Fashion Square Blvd Ste 201
Saginaw, MI 48603-1375
Phone (833) 351-8255
Other practice location 3
2373 Central Park Blvd Unit 100
Denver, CO 80238-2300
Phone (833) 351-8255
Other practice location 4
2006 Hogback Rd Ste 1
Ann Arbor, MI 48105-9750
Phone (734) 786-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Wayne State University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2373 Central Park Blvd
Unit 100
Denver, CO 80238-2300
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A201674 | CA | MD | Psychiatry Physician |
| 4301514528 | MI | MD | Psychiatry Physician |
| 334091 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
Locations
2373 Central Park Blvd
Unit 100
Denver, CO 80238
Phone (303) 531-8310
4200 Fashion Square Blvd
Ste 201
Saginaw, MI 48603
Phone (872) 368-4123
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1194303891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24449",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870589",
"telephone_number": "833-351-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PINE ST STE 1250",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941115235",
"telephone_number": "833-351-8255"
}
],
"practiceLocations": [
{
"address_1": "109 W 27th St Rm 5S",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100016208",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4200 Fashion Square Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486031375",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2373 Central Park Blvd Unit 100",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802382300",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2006 Hogback Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481059750",
"country_code": "US",
"telephone_number": "734-786-2300",
"fax_number": "734-786-4915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KODALI",
"first_name": "VIKAS",
"middle_name": "NAVA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-01",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301514528",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "334091",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0074577",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A201674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.