Active NPI
Deepthi Kodali, M.D.
- Hematology & Oncology Physician
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD61351890
- Practice address
- 1204 N Vercler Rd
Spokane Valley, WA 99216-1020 - Phone
- (509) 228-1000
- NPI assigned
- May 18, 2016
- Last updated
- Jul 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD61351890 | WA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Care Northwest Centers P S | Current | Accepting new patients | |
| Medical Oncology Associates, P.S. | Current | Accepting new patients | |
| American Oncology Partners, P.a. | Hematology & Oncology | Current | Accepting new patients |
| Medical Oncology Associates, PS | Current | Accepting new patients | |
| Cancer Care Northwest Centers P S | Hematology & Oncology | Current | 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
- 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.
-
dba Cancer Care Northwest
- Hematology & Oncology Physician
- Spokane Valley, WA
- NPI 1922072081
-
- Specialist
- Spokane, WA
- NPI 1215980198
-
dba Summit Cancer Centers
- Hematology & Oncology Physician
- Spokane Valley, WA
- NPI 1629809348
-
- Non-Pharmacy Dispensing Site
- Spokane, WA
- NPI 1144900705
-
- Radiation Oncology Physician
- Spokane Valley, WA
- NPI 1831524073
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
dba Pullman Regional Hospital
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.