Individual provider Active NPI

Ravi Kodali, M.D.

  • Nephrology Physician
  • Rock Hill, SC
National Provider Identifier
1508275587
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
1.063652 Issued in CT
Practice address
1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone
(803) 329-2636
Fax
(803) 329-2184
NPI assigned
Aug 4, 2014
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 125.065338 IL
Nephrology Physician 207RN0300X 1.063652 CT Primary

Addresses

Primary practice location

1436 Riverchase Blvd
Rock Hill, SC 29732-1777

Mailing address

1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone (803) 329-2636

Other practice location 1

322 S Main St
Lancaster, SC 29720-2437
Phone (803) 286-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, SC2 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
I20190827001712 CT Practitioner - NephrologyPractitioner - Internal Medicine 9739452889 Reassigns benefits to 1 organization
I20211120000189 SC Practitioner - Nephrology 9739452889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates PAGroup PAC ID 9537128400, 11 clinicians

Practice addresses (Care Compare)

1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone (803) 329-2636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
53.8
Improvement activities
40
Cost
78.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.065338ILMDInternal Medicine Physician
1.063652CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Internal Medicine CurrentSince Jul 10, 2019 Accepting new patients
Yale University CurrentSince Jul 10, 2019 Accepting new patients
Nephrology Associates PA Nephrology CurrentSince Jan 1, 2022 Accepting new patients

Locations

15 York St
New Haven, CT 06510
Phone (203) 688-5303

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

322 S Main St
Lancaster, SC 29720
Phone (803) 286-8446

838 W Meeting St
Ste D
Lancaster, SC 29720
Phone (803) 285-4400

1436 Riverchase Blvd
Rock Hill, SC 29732
Phone (803) 329-2636

Interoperability endpoints

  • Direct secure messaging: rkodali34476@direct.acumenmd.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1508275587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 RIVERCHASE BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321777",
            "telephone_number": "803-329-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 RIVERCHASE BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321777",
            "telephone_number": "803-329-2636",
            "fax_number": "803-329-2184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297202437",
            "country_code": "US",
            "telephone_number": "803-286-8446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODALI",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.065338",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "1.063652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.