Individual provider Active NPI

Deepthi Kodali, M.D.

  • Hematology & Oncology Physician
  • Spokane Valley, WA
National Provider Identifier
1750738860
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD61351890 Issued in WA
Practice address
1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Phone
(509) 228-1000
NPI assigned
May 18, 2016
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X MD61351890 WA Primary
Medical Oncology Physician 207RX0202X MD61351890 WA

Addresses

Primary practice location

1204 N Vercler Rd
Spokane Valley, WA 99216-1020

Mailing address

24373 E Harrier Loop
Liberty Lake, WA 99019-5400
Phone (304) 993-9323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20230719002208 WA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4688960792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Care Northwest Centers P SGroup PAC ID 4688561939, 40 clinicians

Practice addresses (Care Compare)

1204 N Vercler Rd
Spokane, WA 99216-1020
Phone (509) 228-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61351890WAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Northwest Centers P S CurrentSince Aug 1, 2025 Accepting new patients
Medical Oncology Associates, P.S. CurrentSince Jul 1, 2025 Accepting new patients
American Oncology Partners, P.a. Hematology & Oncology CurrentSince Aug 18, 2024 Accepting new patients
Medical Oncology Associates, PS CurrentSince Jul 1, 2025 Accepting new patients
Cancer Care Northwest Centers P S Hematology & Oncology CurrentSince Aug 1, 2025 Accepting new patients

Locations

143 Garden Homes Dr
Colville, WA 99114
Phone (509) 684-3701

6001 N Mayfair St
Spokane, WA 99208
Phone (509) 455-9550

601 S Sherman St
Spokane, WA 99202
Phone (509) 434-1082

605 E Holland Ave
Ste 100
Spokane, WA 99218
Phone (509) 228-1400

1204 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 228-1041

Interoperability endpoints

  • Direct secure messaging: dkodali2949101@wm.providencedirect.org

Organizations & group practices 5

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1750738860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24373 E HARRIER LOOP",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195400",
            "telephone_number": "304-993-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N VERCLER RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161020",
            "telephone_number": "509-228-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODALI",
        "first_name": "DEEPTHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD61351890",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD61351890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.