PRIYANKA KODALI MD
NPI 1164314167
Student in an Organized Health Care Education/Training Program in Rome, GA

Active since July 16, 2025PECOS Enrolled
REDMOND REGIONAL MEDICAL CENTER, 501 REDMOND ROAD, ROME, GA 30165(706) 802-3025 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Priyanka Kodali Md NPPES

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

PRIYANKA KODALI MD (NPI 1164314167) is an individual student in an organized health care education/training program in Rome, Georgia and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164314167
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePRIYANKA KODALICredential: MD
Location AddressREDMOND REGIONAL MEDICAL CENTER, 501 REDMOND ROADRome, GA 30165
Mailing Address100 Woodrow Wilson Way Nw Apt 215Rome, GA 30165-1485 · (469) 992-9593
Sole ProprietorNo
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 2, 2025
NPI 1164314167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
REDMOND REGIONAL MEDICAL CENTER, 501 REDMOND ROAD, Rome, GA 30165

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Priyanka Kodali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Priyanka Kodali's NPI number?

The NPI number for Priyanka Kodali is 1164314167. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Priyanka Kodali located?

Priyanka Kodali practices at Redmond Regional Medical Center, 501 Redmond Road, Rome, GA 30165. The listed phone number is (706) 802-3025.

What is Priyanka Kodali's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Priyanka Kodali enrolled in Medicare?

Yes. Priyanka Kodali is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Priyanka Kodali was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.