Active NPI
Smila Kodali, M.D.
- Psychiatry Physician
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- TP130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP130 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopewell Health Centers, Inc. | Current | Accepting new patients | |
| Hopewell Health Centers Inc | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Multi-Specialty | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Multi-Specialty | Current | Accepting new patients |
| Bronson Battle Creek Hospital | Current | Accepting new patients | |
| New Horizon Counseling Center Inc | Multi-Specialty | Current | Accepting new patients |
| Hopewell Health Centers Inc | Multi-Specialty | Current | Accepting new patients |
| Catholic Charities Neighborhood Services, Inc. | Multi-Specialty | Current | Accepting new patients |
| River Region Psychiatry Associates LLC | Multi-Specialty | Current | 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 | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, OH
- NPI 1699010348
Multi-Specialty
-
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1093119638
Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1548373921
Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
Multi-Specialty
-
- Clinic/Center
- New York, NY
- NPI 1548208127
Multi-Specialty
-
- Psychiatry Physician
- Montgomery, AL
- NPI 1386891497
KY, Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Belpre, OH
- NPI 1144732348
Multi-Specialty
-
- Family Medicine Physician
- Coolville, OH
- NPI 1912343955
-
- Community/Retail Pharmacy
- The Plains, OH
- NPI 1215777230
-
- Community/Retail Pharmacy
- Battle Creek, MI
- NPI 1740351907
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
Multi-Specialty
-
- Clinic/Center
- New York, NY
- NPI 1538943469
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.