Matthew H Kodsi, MD PHD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD0000036417 Issued in TN

Practice address

721 Glenwood Dr
Ste 467-West
Chattanooga, TN 37404

Phone

(423) 698-3423

Fax

(423) 698-1380

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1922035344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR",
            "address_2": "STE 467-WEST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-698-3423",
            "fax_number": "423-698-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR",
            "address_2": "STE 467-WEST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-698-3423",
            "fax_number": "423-698-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODSI",
        "first_name": "MATTHEW",
        "middle_name": "H",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD0000036417",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "046143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000951882A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamelia Jade Knox, MFT
• James D Knox, MD
• Tonya Salia Knox, MSW, LSSW
• Mark Kochanski, PT
• Brooke C. Kocher
• Alan Joseph Koffron, MD
• Julie Ann Koffron, MD
• Danielle Lynn Kohler, MA
• Alan Eugene Kohrt, MD
• Kenneth E Kokko, M.D.

• Neurology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.