Individual provider Active NPI

Sindhu Kodoth

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsburg, VA
National Provider Identifier
1235919523
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024188341 Issued in VA
Practice address
414 Chesdale CT
Williamsburg, VA 23188-1591
Phone
(757) 243-6855
NPI assigned
Oct 3, 2023
Last updated
Feb 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024188341 VA Primary

Addresses

Primary practice location

414 Chesdale CT
Williamsburg, VA 23188-1591

Mailing address

10845 Providence Woods LN
Ashland, VA 23005-7482
Phone (757) 243-6855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231113001168 VA Practitioner - Nurse Practitioner 9537516570 Reassigns benefits to 3 organizations
I20231113002044 DC Practitioner - Nurse Practitioner 9537516570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.37 of 100Reported as group
Quality
80.43
Improvement activities
40
Cost
73.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodium Care Group Inc CurrentSince Jan 7, 2024 Accepting new patients
Supportive Care of Maryland LLC CurrentSince Oct 15, 2023 Accepting new patients
Supportive Care of Virginia LLC CurrentSince Oct 15, 2023 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Mar 1, 2025 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients
Richmond Behavioral Health Authority Past Accepting new patients
Colonial Behavioral Health PastSince Mar 22, 2024 Accepting new patients

Locations

1660 L St NW
Ste 430
Washington, DC 20036
Phone (202) 677-3302

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (205) 593-7605

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

2331 York Rd
Ste 100
Timonium, MD 21093

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1235919523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 PROVIDENCE WOODS LN",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057482",
            "telephone_number": "757-243-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 CHESDALE CT",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881591",
            "telephone_number": "757-243-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODOTH",
        "first_name": "SINDHU",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024188341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.