Jyothsna Kodali, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

L1634 Issued in TX

Practice address

2651 Bolton Boone Dr
Desoto, TX 75115-2011

Phone

(214) 358-2300

Fax

(214) 579-6941

NPI assigned

Jan 4, 2006

Last updated

Dec 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nephrology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Redbird Dialysis Center Dialysis facility, Dallas, TX, CCN 452699
• Desoto Regional Dialysis Center LLC Dialysis facility, Desoto, TX, CCN 672791
• Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
• Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
• Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: jkodali52294@direct.acumenmd.com
• Direct secure messaging: jyothsnakodali@dneph.allscriptsdirect.net

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.

• Dallas Nephrology Associates

  • Nephrology Physician
  • Dallas, TX
  • NPI 1861440109
  Medicare reassignment Care Compare group NPD
• Dallas Nephrology Associates

  dba Dallas Nephrology Associates Vascular Center Dallas

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
  • NPI 1053634030
  NPD

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

• Desoto Regional Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Desoto, TX
  • NPI 1003227075

  Dialysis facility

  Care Compare affiliation Name & address match
• Baylor Medical Center at Waxahachie

  dba Baylor Scott & White Medical Center - Waxahachie

  • General Acute Care Hospital
  • Waxahachie, TX
  • NPI 1265430177
  Care Compare affiliation
• Methodist Hospitals of Dallas

  dba Methodist Charlton Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131
  Care Compare affiliation
• Methodist Hospitals of Dallas

  dba Methodist Midlothian Medical Center

  • General Acute Care Hospital
  • Midlothian, TX
  • NPI 1487271375
  Care Compare affiliation

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1710965215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 BOLTON BOONE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152011",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODALI",
        "first_name": "JYOTHSNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L1634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "L1634",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David R Knight, MD
• Mary Knight, LCSW
• Know You'Re Covered
• John Hendrix Knowles, DDS
• Koar Medical Services
• Janardhan Konda, M.D.
• Dunia Korous, DDS
• Srinath Kotamarti
• Praveen G Kottackal- Varkey, DDS
• Mahesh B Kottapalli, MD

• Nephrology Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.

Verify at the official NPI Registry.