NPIMap

Individual provider Active NPI

Robert Kodsi, MD

  • Gastroenterology Physician
  • Conway, SC
National Provider Identifier
1710979158
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
93413 Issued in SC
Practice address
2376 Cypress Cir Ste 203
Conway, SC 29526-8994
Phone
(843) 347-6038
Fax
(843) 347-9808
NPI assigned
Aug 22, 2005
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 1942861 NY
Gastroenterology Physician 207RG0100X 93413 SC Primary

Addresses

Primary practice location

2376 Cypress Cir Ste 203
Conway, SC 29526-8994

Mailing address

300 Singleton Ridge Rd
Attn Credentialing
Conway, SC 29526-9142

Other practice location 1

6010 Highway 707 Ste 300
Myrtle Beach, SC 29588-7321
Phone (843) 347-6038

Other identifiers 4

IdentifierTypeStateIssuer
4C3181OtherHEALTHNET
01694706MedicaidNY
6014232OtherGHI
934136MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110321000128 NY Practitioner - Gastroenterology 1153479902 Reassigns benefits to 1 organization
I20241216003752 SC Practitioner - Gastroenterology 1153479902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Boston University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

2376 Cypress Cir
Suite 203
Conway, SC 29526-8994
Phone (843) 347-6038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.24 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
90.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy271
Upper gastrointestinal (GI) endoscopy for acid reflux240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1942861NYMDGastroenterology Physician
93413SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center - MMC Gastroenterology FPP Gastroenterology CurrentSince Jan 1, 2000 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Conway Hospital, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Conway Hospital, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Anesthesiology Associates of Boro Park, LLP PastSince Apr 1, 1999 Accepting new patients
Conway Hospital, Inc. Past Accepting new patients
Gila R. Weinstein MD, P.C PastSince Jun 28, 2025 Accepting new patients

Locations

6010 Bay Pkwy
Ste 804
Brooklyn, NY 11204
Phone (718) 851-6767

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

2376 Cypress Cir
Ste 203
Conway, SC 29526
Phone (843) 347-4600

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: robertkodsi@mai.allscriptsdirect.net
  • Direct secure messaging: robert.kodsi@gastro.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1710979158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTN CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIR STE 203",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268994",
            "telephone_number": "843-347-6038",
            "fax_number": "843-347-9808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6010 Highway 707 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887321",
            "country_code": "US",
            "telephone_number": "843-347-6038",
            "fax_number": "843-347-9808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODSI",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1942861",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "93413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "4C3181",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01694706",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6014232",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "934136",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.