PRATIMA KODALI MD
NPI 1245302066
Pediatrics - Pediatric Gastroenterology in Roseville, CA

Active since November 15, 2006PECOS Enrolled
1600 EUREKA RD, ROSEVILLE, CA 95661(916) 784-4000 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1245302066
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NamePRATIMA KODALICredential: MD
Location Address1600 EUREKA RDRoseville, CA 95661-3027
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateDecember 22, 2021
NPI 1245302066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in CA · A79521
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
1600 EUREKA RD, Roseville, CA 95661

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pratima 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.

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.

New Patient
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
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.

Urology
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Physical Therapist
1600 EUREKA RD
ROSEVILLE, CA 95661
Hospitalist
1600 EUREKA RD
ROSEVILLE, CA 95661
Internal Medicine
1600 EUREKA RD
ROSEVILLE, CA 95661
Nurse Practitioner (Women's Health)
1600 EUREKA RD, WOMEN'S HEALTH , PERMANENTE MEDICAL GROUP
ROSEVILLE, CA 95661
Pediatrics (Pediatric Hematology-Oncology)
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
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.

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.