Active NPI
William G Kodzai, MD
- Diagnostic Radiology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 200400533
- Practice address
- 3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087 - Phone
- (919) 781-1437
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 40305 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 230005-1 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 35.146197 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 200400533 | NC | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 0101287974 | VA |
Addresses
Primary practice location
3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087
Mailing address
5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 781-1437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040901000512 | NC | Practitioner - Diagnostic Radiology | 2567437577 | Reassigns benefits to 3 organizations |
| I20161216001591 | SC | Practitioner - Diagnostic Radiology | 2567437577 |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Brody School of Medicine at East Carolina University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Raleigh Radiology LLCRaleigh Radiology Associates IncRaleigh Radiology Wakemed Imaging, LLC
Practice addresses (Care Compare)
209 Plantation Dr
Southern Pines, NC 28387-2966
Phone (910) 603-0279
3200 Blue Ridge Rd
Suite 100
Raleigh, NC 27612-8087
Phone (919) 781-1437
997 Anatrella LN NW
Concord, NC 28027-8656
Phone (919) 781-1487
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230005-1 | NY | MD | Diagnostic Radiology Physician |
| 40305 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Radiology Wakemed Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Raleigh Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Raleigh Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Charlotte Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
| First Imaging of the Carolinas | Diagnostic Radiology | Past | Accepting new patients |
| Pinehurst Radiology Group P a | Past | Accepting new patients | |
| Pinehurst Radiology Associates | Past | Accepting new patients |
Locations
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
11640 Northpark Dr
Ste 110
Wake Forest, NC 27587
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1629022280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 GREENS DAIRY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276164612",
"telephone_number": "919-781-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 BLUE RIDGE RD STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276128087",
"telephone_number": "919-781-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KODZAI",
"first_name": "WILLIAM",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "40305",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "230005-1",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.146197",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "200400533",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101287974",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.