Individual provider Active NPI

Smila Kodali, M.D.

  • Psychiatry Physician
  • Warren, OH
National Provider Identifier
1659514966
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
TP130 Issued in KY
Practice address
1350 E Market St
Warren, OH 44483-6608
Phone
(330) 841-9011
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X TP130 KY Primary

Addresses

Primary practice location

1350 E Market St
Warren, OH 44483-6608

Mailing address

1350 E Market St
Warren, OH 44483-6608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MI, OH, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150127001294 KY Practitioner - Psychiatry 6305160185 Reassigns benefits to 1 organization
Practice locations: Elizabethtown, KY
I20161026000043 MI Practitioner - Psychiatry 6305160185 Reassigns benefits to 1 organization
I20180611002444 OH Practitioner - Psychiatry 6305160185 Reassigns benefits to 1 organization
I20181009002994 NY Practitioner - Psychiatry 6305160185 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP130KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Health Centers, Inc. CurrentSince May 1, 2018 Accepting new patients
Hopewell Health Centers Inc CurrentSince May 1, 2018 Accepting new patients
New York City Health and Hospitals Corporation Multi-Specialty CurrentSince May 7, 2019 Accepting new patients
New York City Health and Hospitals Corporation Multi-Specialty Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince Oct 6, 2016 Accepting new patients
New Horizon Counseling Center Inc Multi-Specialty CurrentSince Sep 1, 2020 Accepting new patients
Hopewell Health Centers Inc Multi-Specialty Current Accepting new patients
Catholic Charities Neighborhood Services, Inc. Multi-Specialty CurrentSince Apr 30, 2020 Accepting new patients
River Region Psychiatry Associates LLC Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
Hopewell Health Centers Inc Multi-Specialty Current Accepting new patients
Bronson Battle Creek Hospital Multi-Specialty Current Accepting new patients
New York City Health and Hospitals Corporation Multi-Specialty CurrentSince May 7, 2019 Accepting new patients
Suresh Kodali Multi-Specialty Past Accepting new patients
Catholic Charities Neigborhood Services Past Accepting new patients

Locations

1048 Ashley St
Ste 201
Bowling Green, KY 42103
Phone (270) 205-4585

801 Barret Ave
Ste 110
Louisville, KY 40204
Phone (270) 205-4585

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

191 Joralemon St
Ste 11TH
Brooklyn, NY 11201

191 Joralemon St
Fl 11
Brooklyn, NY 11201

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 872-9698

90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091

Interoperability endpoints

  • Direct secure messaging: skodali560169@nychhc.direct-ci.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1659514966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836608",
            "telephone_number": "330-841-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODALI",
        "first_name": "SMILA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "TP130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.