DR. JOHN KODATT MD
NPI 1083354039
Family Medicine in Nampa, ID
About Dr. John Kodatt Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN KODATT MD (NPI 1083354039) is an individual family medicine provider in Nampa, Idaho, licensed in Idaho (2171959) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Kodatt Md 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.
Medicare Billing Reassignments
6Medicare enrollment records show John Kodatt reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Caldwell, ID 83605
- Reassigned Medicare billing, Idaho enrollment
- 781 clinicians in this Medicare group
Ontario, OR 97914
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Apogee Medical Group PC
- 70 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Kentucky enrollment
- 79 clinicians in this Medicare group
Glasgow, KY 42141
- Reassigned Medicare billing, Kentucky enrollment
- 68 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 clinicians in this Medicare group
Oak Ridge, TN 37830
- Reassigned Medicare billing, Kentucky enrollment
- 358 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDSaint Alphonsus Medical Center - Nampa
Acute Care Hospitals · Nampa, IDSaint Alphonsus Medical Center - Ontario
Acute Care Hospitals · Ontario, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Kodatt's NPI number?
The NPI number for John Kodatt is 1083354039. It was assigned to this individual provider in the NPPES registry on March 29, 2022.
Where is John Kodatt located?
John Kodatt practices at 1510 12th Ave Rd Ste 200, Nampa, ID 83686. The listed phone number is (208) 302-6800.
What is John Kodatt's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Kodatt enrolled in Medicare?
Yes. John Kodatt 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.
Which organizations bill Medicare for John Kodatt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kodatt reassigns Medicare benefits to 6 organizations: Saint Alphonsus Regional Medical Center Inc (Caldwell, ID), Apogee Medical Group, P.C. (Ontario, OR), South Central Physicians PLLC (Lubbock, TX), Urgent Care Services Southeast Psc (Glasgow, KY), Southeastern Emergency Physicians LLC (Maysville, KY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Kodatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Kodatt accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare and Select Health list John Kodatt 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.
Is John Kodatt affiliated with any hospitals?
According to CMS data, John Kodatt is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa and Saint Alphonsus Medical Center - Ontario.
When was this NPI record last updated?
The NPPES record for John Kodatt was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. John Kodatt, MD · NPI 1083354039
Family Medicine physician in Nampa, Idaho. Individual provider, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1083354039 (Entity type: Individual)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2171959 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1510 12TH AVE RD STE 200, Nampa, ID 83686-6946
- **Phone:** (208) 302-6800 · **Fax:** (208) 302-6855
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Saint Alphonsus Regional Medical Center Inc (NPI 1861676298, Caldwell, ID); Apogee Medical Group, P.C. (NPI 1841461803, Ontario, OR); South Central Physicians PLLC (NPI 1427611854, Lubbock, TX); Urgent Care Services Southeast Psc (NPI 1427831759, Glasgow, KY); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083354039) · Data from the CMS NPPES public registry.