Individual provider Active NPI

Namratha Kodali, MD

  • Hematology & Oncology Physician
  • Lancaster, PA
National Provider Identifier
1326489295
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD458586 Issued in PA
Practice address
2221 Noll Dr FL 1
Lancaster, PA 17603-7614
Phone
(717) 715-1001
Fax
(717) 531-0849
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME148206 FL
Medical Oncology Physician 207RX0202X ME148206 FL
Hematology & Oncology Physician 207RH0003X MD458586 PA Primary

Addresses

Primary practice location

2221 Noll Dr FL 1
Lancaster, PA 17603-7614

Mailing address

500 University Dr MC Ca410
Hershey, PA 17033-2360
Phone (717) 531-1159

Other practice location 1

700 3rd St Ste 302
Neptune Beach, FL 32266-5082
Phone (904) 997-3800

Other identifiers 3

IdentifierTypeStateIssuer
D77EQOtherFLFL BLUE
110744700MedicaidFL
P1965OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210707000778 FL Practitioner - Hematology/Oncology 5597997692 Reassigns benefits to 2 organizations
I20240830002049 IA Practitioner - Medical OncologyPractitioner - Hematology 5597997692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10539 Aventura Dr
Jacksonville, FL 32256-5849
Phone (712) 252-0088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148206FLMDHematology & Oncology Physician
MD458586PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siouxland Regional Cancer Center Hematology & Oncology CurrentSince Aug 1, 2024 Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Nov 1, 2025 Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Locations

230 Nebraska St
Sioux City, IA 51101
Phone (712) 252-9381

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1326489295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-1159",
            "fax_number": "717-531-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 NOLL DR FL 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037614",
            "telephone_number": "717-715-1001",
            "fax_number": "717-531-0849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 3rd St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Neptune Beach",
            "state": "FL",
            "postal_code": "322665082",
            "country_code": "US",
            "telephone_number": "904-997-3800",
            "fax_number": "904-997-3899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODALI",
        "first_name": "NAMRATHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME148206",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME148206",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD458586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "D77EQ",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110744700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "P1965",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.