Sanghamitra Kodukula, RN, BSN, MSN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

551691 Issued in NY

Practice address

1275 York Ave
New York, NY 10065-6007

Phone

(212) 639-6840

NPI assigned

Jul 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metrowest Anesthesia Associates LLCGroup PAC ID 8224397351, 21 clinicians

Tri Anesthesia LLCGroup PAC ID 2062931215, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Metrowest Medical Center Hospital, Framingham, MA, CCN 220175

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science - Nursing, Registered Nurse

Practice roles

Locations

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.

• Tri Anesthesia LLC

  • Anesthesiology Physician
  • Worcester, MA
  • NPI 1275331761
  Medicare reassignment Care Compare group NPD
• Metrowest Anesthesia Associates LLC

  • Anesthesiology Physician
  • Framingham, MA
  • NPI 1104339902
  Medicare reassignment Care Compare group
• Icon Anesthesia Services of New England LLC

  • Anesthesiology Physician
  • Middleton, MA
  • NPI 1629583323
  Medicare reassignment NPD
• North American Partners in Anesthesia Connecticut PC

  • Anesthesiology Physician
  • New Britain, CT
  • NPI 1316994775
  Medicare reassignment NPD
• Gbaa Holdings, PLLC

  • Anesthesiology Physician
  • Acton, MA
  • NPI 1790299592
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• VHS Acquisition Subsidiary Number 9 Inc

  • General Acute Care Hospital
  • Framingham, MA
  • NPI 1740252592
  Care Compare affiliation

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1679887954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-6840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Pomfret St",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601836",
            "country_code": "US",
            "telephone_number": "860-928-6541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODUKULA",
        "first_name": "SANGHAMITRA",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "NY",
            "license": "551691",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "551691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hima Bindu Kodishala
• Gayathri Kodiyalam
• Rosy Priya Lawrence Kodiyanplakkal, M.D.
• Arber Kodra, MD
• Mariam Kodsy
• Sunaina Koduru, MD
• Arif Kodza, MD
• Gabrielle Koegel
• Henry Michael Koegel, PHD
• Lesley B Koegel, PSY.D.

• Certified Registered Nurse Anesthetist in New York, NY
• Providers in New York, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.