Individual provider Active NPI

Visali Kodali, MD

  • Cardiovascular Disease Physician
  • Inverness, FL
National Provider Identifier
1851625164
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME121070 Issued in FL
Practice address
308 W Highland Blvd
Inverness, FL 34452-4716
Phone
(352) 726-8353
NPI assigned
Sep 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME121070 FL Primary

Addresses

Primary practice location

308 W Highland Blvd
Inverness, FL 34452-4716

Mailing address

308 W Highland Blvd
Inverness, FL 34452-4716
Phone (352) 726-8353

Other practice location 1

1879 Nightingale Ln Ste C1
Tavares, FL 32778-4363
Phone (386) 724-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151026000917 FL Practitioner - Cardiovascular Disease (Cardiology) 6002125457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.68 of 100Reported as group
Quality
79.25
Promoting interoperability
94
Improvement activities
40
Cost
77.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121070FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of the Villages PLC Cardiovascular Disease CurrentSince Apr 12, 2021 Accepting new patients

Locations

8575 NE 138th Ln
Ste 203
The Villages, FL 32159
Phone (352) 674-2080

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1851625164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524716",
            "telephone_number": "352-726-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524716",
            "telephone_number": "352-726-8353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1879 Nightingale Ln Ste C1",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784363",
            "country_code": "US",
            "telephone_number": "386-724-1171",
            "fax_number": "386-742-7241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODALI",
        "first_name": "VISALI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME121070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.