Meera Kodityal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H9361 Issued in TX

Practice address

315 N Golder
Ste a
Odessa, TX 79761

Phone

(432) 337-0555

Fax

(432) 337-0558

NPI assigned

Sep 25, 2006

Last updated

Jul 15, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

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

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.

• Odessa Sleep Associates

  • Sleep Disorder Diagnostic Clinic/Center
  • Odessa, TX
  • NPI 1013155852
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1609977651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1388",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79760",
            "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": "315 N GOLDER",
            "address_2": "STE A",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-337-0555",
            "fax_number": "432-337-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODITYAL",
        "first_name": "MEERA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H9361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winnie Chepkorir Kirui, PHARMD
• Suzan Diane Kitchens, RN
• Morgan Elizabeth Kizer, M.S.CCC.SLP
• Lance Kneese, PHARMD
• Anjaiah Kodityal, MD
• Ramachandra Kolluru, MD
• Samrajyam Kolluru, MD
• Samata Kona
• Christian Korner, PTA
• Ewa Korzeniowska, CRNA

• Internal Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.