PRATIMA KODALI MD
NPI 1245302066
Pediatrics - Pediatric Gastroenterology in Roseville, CA
About Pratima Kodali Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRATIMA KODALI MD (NPI 1245302066) is an individual pediatric gastroenterology provider in Roseville, California, licensed in California (A79521) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pratima Kodali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Pratima Kodali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
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 Pratima Kodali's NPI number?
The NPI number for Pratima Kodali is 1245302066. It was assigned to this individual provider in the NPPES registry on November 15, 2006.
Where is Pratima Kodali located?
Pratima Kodali practices at 1600 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 784-4000.
What is Pratima Kodali's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Pratima Kodali enrolled in Medicare?
Yes. Pratima Kodali is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Pratima Kodali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pratima Kodali reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Pratima Kodali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Pratima Kodali was last updated on December 22, 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.
# Pratima Kodali, MD · NPI 1245302066
Pediatric Gastroenterology physician in Roseville, California. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1245302066 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** A79521 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 EUREKA RD, Roseville, CA 95661-3027
- **Phone:** (916) 784-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1245302066) · Data from the CMS NPPES public registry.