DR. SRIDEVI KODALI M.D.
NPI 1053358630
Psychiatry & Neurology - Child & Adolescent Psychiatry in Livonia, MI

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
17940 FARMINGTON RD, SUITE 230, LIVONIA, MI 48152(734) 422-4748(734) 422-5076 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sridevi Kodali M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SRIDEVI KODALI M.D. (NPI 1053358630) is an individual child & adolescent psychiatry provider in Livonia, Michigan, licensed in Michigan (407429) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1053358630
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SRIDEVI KODALICredential: M.D.
Location Address17940 FARMINGTON RD, SUITE 230Livonia, MI 48152-4444
Mailing Address17940 Farmington Road, Suite 230Livonia, MI 48152-2851 · (734) 422-4748 · Fax (734) 422-5076
Fax(734) 422-5076
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJune 1, 2006
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
NPI 1053358630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in MI · 407429
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 407429 (MI)
17940 FARMINGTON RD, Livonia, MI 48152

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sridevi Kodali M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456398700
PECOS Enrollment IDI20050408000620
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services22 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
17940 FARMINGTON RD
LIVONIA, MI 48152
Social Worker (Clinical)
17940 FARMINGTON RD, SUITE 225
LIVONIA, MI 48152
Social Worker
17940 FARMINGTON RD
LIVONIA, MI 48152
Social Worker (Clinical)
17940 FARMINGTON RD
LIVONIA, MI 48152
Social Worker (Clinical)
17940 FARMINGTON RD
LIVONIA, MI 48152
Massage Therapist
17940 FARMINGTON RD
LIVONIA, MI 48152
Social Worker
17940 FARMINGTON RD
LIVONIA, MI 48152
Psychologist
17940 FARMINGTON RD
LIVONIA, MI 48152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sridevi Kodali's NPI number?

The NPI number for Sridevi Kodali is 1053358630. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Sridevi Kodali located?

Sridevi Kodali practices at 17940 Farmington Rd Suite 230, Livonia, MI 48152. The listed phone number is (734) 422-4748.

What is Sridevi Kodali's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Sridevi Kodali enrolled in Medicare?

Yes. Sridevi Kodali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sridevi Kodali accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and Providence Health Plan and 1 other insurer list Sridevi Kodali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sridevi Kodali was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.