NPIMap

Individual provider Active NPI

Malady S Kodgi, M.D

  • Anesthesiology Physician
  • Washington, DC
National Provider Identifier
1770568420
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
32095 Issued in DC
Practice address
110 Irving St NW
Go-12 Washington Hosp Center
Washington, DC 20010-2976
Phone
(202) 877-3442
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD32095 DC
Anesthesiology Physician 207L00000X 32095 DC Primary

Addresses

Primary practice location

110 Irving St NW
Go-12 Washington Hosp Center
Washington, DC 20010-2976

Mailing address

14504 Sandy Ridge Rd
Silver Spring, MD 20905-5874
Phone (301) 879-0252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719001147 DC Practitioner - AnesthesiologyPractitioner - Physical Medicine and Rehabilitation 4082641279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Physical Medicine and Rehabilitation
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.5 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
65.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32095DCMDAnesthesiology Physician
MD32095DCMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Nov 1, 2018 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Nov 1, 2018 Accepting new patients
WHC Physician Group LLC CurrentSince Jan 1, 2013 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
WHC Emerg Phys CurrentSince Jan 1, 2013 Accepting new patients

Locations

110 Irving St NW
#12
Washington, DC 20010
Phone (202) 877-3442

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

110 Irving St NW
Rm G12
Washington, DC 20010

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

925 Half St SE
Washington, DC 20003
Phone (202) 877-1621

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1770568420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14504 SANDY RIDGE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055874",
            "telephone_number": "301-879-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "GO-12 WASHINGTON HOSP CENTER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102976",
            "telephone_number": "202-877-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODGI",
        "first_name": "MALADY",
        "middle_name": "S",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "DC",
            "license": "MD32095",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DC",
            "license": "32095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.