DR. MOUNA KODALI MD
NPI 1275116840
Student in an Organized Health Care Education/Training Program in Milwaukee, WI
About Dr. Mouna Kodali Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MOUNA KODALI MD (NPI 1275116840) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mouna Kodali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
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 Mouna Kodali's NPI number?
The NPI number for Mouna Kodali is 1275116840. It was assigned to this individual provider in the NPPES registry on May 3, 2021.
Where is Mouna Kodali located?
Mouna Kodali practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-2000.
What is Mouna 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 Mouna Kodali enrolled in Medicare?
Yes. Mouna Kodali is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mouna Kodali was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Mouna Kodali, MD · NPI 1275116840
Student in an Organized Health Care Education/Training Program provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since May 3, 2021.
## Identity
- **NPI:** 1275116840 (Entity type: Individual)
- **Enumerated:** May 3, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 945 N 12TH ST, Milwaukee, WI 53233-1305
- **Phone:** (414) 219-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1275116840) · Data from the CMS NPPES public registry.