DR. NAGENDRA S KODALI M.D.
NPI 1063573103
Anesthesiology - Pediatric Anesthesiology in Houston, TX

Q: What is Nagendra S Kodali's NPI number?

The NPI number for Nagendra S Kodali is 1063573103. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Nagendra S Kodali's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Q: When was this NPI record last updated?

The NPPES record for Nagendra S Kodali was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment

6621 FANNIN ST, HOUSTON, TX 77030(832) 824-1000 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Nagendra S Kodali M.d. NPPES

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

DR. NAGENDRA S KODALI M.D. (NPI 1063573103) is an individual pediatric anesthesiology provider in Houston, Texas, licensed in Texas (Q1650) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1063573103

Entity TypeIndividualMale

Primary Taxonomy207LP3000X

Provider Legal NameDR. NAGENDRA S KODALICredential: M.D.

Location Address6621 FANNIN STHouston, TX 77030-2358

Mailing Address6621 Fannin St Ste W17417Houston, TX 77030-2372 · (832) 824-1000

Phone(832) 824-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateDecember 13, 2006

Last NPPES UpdateFebruary 14, 2023

NPPES CertifiedFebruary 14, 2023

✔ NPI 1063573103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

Licenses✔ Licensed in TX · Q1650✔ Licensed in GA · 058535

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

Also ListedAnesthesiologyTaxonomy 207L00000X · License Q1650 (TX)

6621 FANNIN ST, Houston, TX 77030

Open in Google Maps ↗

Other Identifiers 2

Medicaid342414501TX

Other8ET177TX · Bcbs Tx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Moda Health Plan, Inc..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. Nagendra S 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 ID3274535778

PECOS Enrollment IDI20141111002200

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450034

Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. TAKETO BABA M.D.

Pediatrics (Pediatric Emergency Medicine)