KODALI NEPHROLOGY AND HYPERTENTION CENTER LLC
NPI 1326236647
Internal Medicine - Nephrology in Maplewood, NJ

Q: What is Kodali Nephrology And Hypertention Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since October 11, 2007CLIA 31D1074383 · Waiver

2040 MILLBURN AVE, SUITE 403, MAPLEWOOD, NJ 07040(973) 763-1100(973) 763-1122 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kodali Nephrology And Hypertention Center Llc NPPES

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

KODALI NEPHROLOGY AND HYPERTENTION CENTER LLC (NPI 1326236647) is a healthcare organization registered as a nephrology in Maplewood, New Jersey and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Padmaja Kodali, Doctor, as its authorized official.

NPPES Registry Identity

NPI1326236647

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameKODALI NEPHROLOGY AND HYPERTENTION CENTER LLC

Location Address2040 MILLBURN AVE, SUITE 403Maplewood, NJ 07040-3726

Mailing Address2040 Millburn Ave, Suite 403Maplewood, NJ 07040-3726 · (973) 763-1100 · Fax (973) 763-1122

Phone(973) 763-1100

Fax(973) 763-1122

Organization SubpartNo

Authorized OfficialPadmaja KodaliDoctor · (973) 763-1100

Enumeration DateOctober 11, 2007

Last NPPES UpdateJanuary 2, 2008

✔ NPI 1326236647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NJ · 25MA06878300

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2040 MILLBURN AVE, Maplewood, NJ 07040

Open in Google Maps ↗

Other Identifiers 3

Medicare PIN098717

Medicare UPINH29863

Medicaid8348707NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kodali Nephrology And Hypertention Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew JerseyEnrollment IDO20060301000021Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kodali Nephrology And Hypertention Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Padmaja Kodali, MD

Internal Medicine

NPI 1790747764

2040 MILLBURN AVE SUITE 403
Maplewood, NJ 07040

(973) 763-1100

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1074383

Kodali Nephrology & Hypertension Center · Maplewood, NJ

Active · expires Sep 26, 2027

CLIA Number31D1074383

Laboratory TypePhysician Office

Certificate Effective DateSeptember 27, 2025

Certificate Expiration DateSeptember 26, 2027

Laboratory DirectorPadmaja Kodali

Laboratory Phone(973) 763-1100

Laboratory LocationKodali Nephrology & Hypertension Center1979 Springfield Avenue, 1st Floor, Maplewood, NJ 07040

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Kodali Nephrology And Hypertention Center LLC's NPI number?

The NPI number for Kodali Nephrology And Hypertention Center LLC is 1326236647. It was assigned to this organization in the NPPES registry on October 11, 2007.

Where is Kodali Nephrology And Hypertention Center LLC located?

Kodali Nephrology And Hypertention Center LLC is located at 2040 Millburn Ave Suite 403, Maplewood, NJ 07040. The listed phone number is (973) 763-1100.

What is Kodali Nephrology And Hypertention Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kodali Nephrology And Hypertention Center LLC enrolled in Medicare?

Yes. Kodali Nephrology And Hypertention Center LLC is registered in the Medicare PECOS enrollment system.

When is Kodali Nephrology And Hypertention Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kodali Nephrology And Hypertention Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kodali Nephrology And Hypertention Center LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kodali Nephrology And Hypertention Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1074383) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kodali Nephrology And Hypertention Center LLC was last updated on January 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.