Individual provider Active NPI

Sindhura Kodali, MD, MPH

  • Pediatrics Physician
  • Madera, CA
National Provider Identifier
1861811408
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A139845 Issued in CA
Practice address
9300 Valley Childrens PL # GW12
Madera, CA 93636-8761
Phone
(559) 353-5068
Fax
(559) 353-5426
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A139845 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL # GW12
Madera, CA 93636-8761

Mailing address

9300 Valley Childrens PL # GW12
Madera, CA 93636-8761

Other practice location 1

222 W 39th Ave Fl 3
San Mateo, CA 94403
Phone (222) 393-9440

Other names 1

  • Dr. Sindhura Kodali Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180705002871 CA Practitioner - Pediatric MedicinePractitioner - Hospitalist 2466746896 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139845CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince May 26, 2018 Accepting new patients
Valley Children'S Medical Group Pediatrics CurrentSince Oct 30, 2020 Accepting new patients
Providence Medical Foundation Current Accepting new patients
County of San Mateo CurrentSince May 26, 2018 Accepting new patients
Providence Medical Foundation CurrentSince Jan 14, 2019 Accepting new patients
Providence Medical Foundation CurrentSince Jan 14, 2019 Accepting new patients
County of San Mateo Current Accepting new patients
Regents Univ of California UCSF Pediatrics CurrentSince Apr 2, 2019 Accepting new patients
County of San Mateo CurrentSince May 26, 2018 Accepting new patients
University of California San Francisco Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Valley Children'S Hospital PastSince Mar 16, 2020 Accepting new patients

Locations

1100 Larkspur Landing Cir
Ste 10
Larkspur, CA 94939
Phone (415) 464-1350

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

9300 Valley Childrens Pl
#12
Madera, CA 93636
Phone (559) 353-5068

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

222 W 39th Ave
Fl 3
San Mateo, CA 94403
Phone (222) 393-9440

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

4000 Civic Center Dr
Ste 206
San Rafael, CA 94903
Phone (415) 492-4800

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

Interoperability endpoints

  • Direct secure messaging: skodali15900@valleychildrens-prd.direct-ci.com
  • Direct secure messaging: skodali65743@direct-ucsfmedicalcenter.org
  • Direct secure messaging: skodali21648@smch.direct-ci.com

Organizations & group practices 12

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1861811408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # GW12",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # GW12",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5068",
            "fax_number": "559-353-5426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W 39th Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "94403",
            "country_code": "US",
            "telephone_number": "222-393-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODALI",
        "first_name": "SINDHURA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A139845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SINDHURA",
            "last_name": "KODALI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.