Active NPI
Shilpa Kodati, MD
- Ophthalmology Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301507901
- Practice address
- 1000 Wall St
Ann Arbor, MI 48105-1912 - Phone
- (734) 764-4190
- NPI assigned
- Jul 9, 2012
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 252783 | MA | |
| Ophthalmology Physician | 207W00000X | RS2015-0468 | NM | |
| Ophthalmology Physician | 207W00000X | 4301507901 | MI | Primary |
Addresses
Primary practice location
1000 Wall St
Ann Arbor, MI 48105-1912
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
1977 Butler Blvd
Alkek Eye Center, Baylor college of medicine
Houston, TX 77030
Phone (713) 798-5143
Other practice location 2
National Eye Institute National Of Health
Building 10
Bethesda, MD 20892-0001
Phone (617) 949-1558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Wall St
Ann Arbor, MI 48105-1912
Phone (734) 764-4190
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 764-4190
7500 Challis Rd
Brighton, MI 48116-9416
Phone (734) 764-4190
Hospital & facility affiliations
- University of Michigan Health System
- Edward W Sparrow Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252783 | MA | MD | Internal Medicine Physician |
| 4301507901 | MI | MD | Ophthalmology Physician |
| RS2015-0468 | NM | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Ophthalmology | Current | Accepting new patients |
| Texas Children'S Physician Group | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Internal Medicine | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Baylor College of Medicine | Internal Medicine | Current | Accepting new patients |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
1000 Wall St
Ann Arbor, MI 48105
Phone (734) 763-1415
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1977 Butler Blvd
Houston, TX 77030
Phone (713) 798-4857
1977 Butler Blvd
Ste E3
Houston, TX 77030
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003
Organizations & group practices 8
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.
-
- Ophthalmology Physician
- Ann Arbor, MI
- NPI 1568495299
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1780949545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WALL ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051912",
"telephone_number": "734-764-4190"
}
],
"practiceLocations": [
{
"address_1": "1977 Butler Blvd",
"address_2": "Alkek Eye Center, Baylor college of medicine",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "713-798-5143",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "National Eye Institute National Of Health",
"address_2": "Building 10",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208920001",
"country_code": "US",
"telephone_number": "617-949-1558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KODATI",
"first_name": "SHILPA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "252783",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NM",
"license": "RS2015-0468",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301507901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.