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DR. NAMRATHA KODALI MD
NPI 1326489295
Internal Medicine - Hematology & Oncology in Lancaster, PA

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
2221 NOLL DR FL 1, LANCASTER, PA 17603(717) 715-1001(717) 531-0849 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Aug 16, 2023, Feb 2, 2023 and 4 more (7 updates tracked since 2021).

About Dr. Namratha Kodali Md NPPES

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

DR. NAMRATHA KODALI MD (NPI 1326489295) is an individual hematology & oncology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD458586) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and maintains a secondary practice location in Neptune Beach.

NPPES Registry Identity

NPI1326489295
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. NAMRATHA KODALICredential: MD
Location Address2221 NOLL DR FL 1Lancaster, PA 17603-7614
Mailing Address500 University Dr Mc Ca410Hershey, PA 17033-2360 · (717) 531-1159 · Fax (717) 531-0119
Phone(717) 715-1001
Fax(717) 531-0849
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 8, 2013
Last NPPES UpdateDecember 26, 20237 updates tracked since enumeration
NPPES CertifiedDecember 26, 2023
✔ NPI 1326489295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in PA · MD458586✔ Licensed in FL · ME148206
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License ME148206 (FL)
2221 NOLL DR FL 1, Lancaster, PA 17603
Open in Google Maps ↗

Secondary Practice Location 1

Location 1700 3rd St Ste 302Neptune Beach, FL 32266-5082 · Phone (904) 997-3800 · Fax (904) 997-3899

Other Identifiers 3

OtherD77EQFL · Fl Blue
Medicaid110744700FL
OtherP1965FL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Namratha Kodali Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597997692
PECOS Enrollment IDI20210707000778, I20240830002049
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
165 services75 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
156 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services66 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Reported Quality Measures

e-Prescribing
94%233 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%354 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RITA PAUL CRNP
Nurse Practitioner
2221 NOLL DR FL 1
LANCASTER, PA 17603
Lancaster County (717) 327-4326
AUDREY THORP DAMREN DO
Hospitalist
2221 NOLL DR FL 1
LANCASTER, PA 17603
Lancaster County (717) 531-3828
DR. TARIG AHMED MD
Internal Medicine (Hematology & Oncology)
2221 NOLL DR FL 1
LANCASTER, PA 17603
Lancaster County (717) 715-1001
DANIEL FORMAN DO
Internal Medicine (Hematology & Oncology)
2221 NOLL DR FL 1
LANCASTER, PA 17603
Lancaster County (717) 735-3738

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 Namratha Kodali's NPI number?

The NPI number for Namratha Kodali is 1326489295. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Namratha Kodali located?

Namratha Kodali practices at 2221 Noll Dr Fl 1, Lancaster, PA 17603. The listed phone number is (717) 715-1001.

What is Namratha Kodali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Namratha Kodali enrolled in Medicare?

Yes. Namratha Kodali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Namratha Kodali accept?

Health plans from Avera Health Plans, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Medica and Molina Healthcare and 2 other insurers list Namratha Kodali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Namratha Kodali affiliated with any hospitals?

According to CMS data, Namratha Kodali is affiliated with St Lukes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Namratha Kodali was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.