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DR. VIJAY PRATAP REDDY KODADHALA MD.,MRCP(U.K)
NPI 1336589753
General Acute Care Hospital in Laurel, MD

Active since June 29, 2013PECOS EnrolledAccepts Medicare Assignment
55.06/100
CMS Quality Rating
9635 WASHINGTON AVE, LAUREL, MD 20723(202) 330-3696 Get Directions Write a Review

NPPES record last updated: June 29, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Vijay Pratap Reddy Kodadhala Md.,mrcp(u.k) NPPES

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

DR. VIJAY PRATAP REDDY KODADHALA MD.,MRCP(U.K) (NPI 1336589753) is an individual general acute care hospital provider in Laurel, Maryland, licensed in District Of Columbia (001526) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1336589753
Entity TypeIndividualMale
Primary Taxonomy282N00000X
Provider Legal NameDR. VIJAY PRATAP REDDY KODADHALACredential: MD.,MRCP(U.K)
Location Address9635 WASHINGTON AVELaurel, MD 20723-1917
Mailing Address9635 Washington AveLaurel, MD 20723-1917 · (202) 330-3696
Phone(202) 330-3696
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJune 29, 2013
✔ NPI 1336589753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in DC · 001526
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
9635 WASHINGTON AVE, Laurel, MD 20723
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Blue Cross and Blue Shield of Texas, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vijay Pratap Reddy Kodadhala Md.,mrcp(u.k) 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 ID1456640689
PECOS Enrollment IDI20201216001454
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Vijay Kodadhala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Emergency Medicine Associates, LLC
158 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Robert Wood Johnson Medical Associates
159 mi
Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1902848625 (732) 235-7840
Barnabas Health Medical Group PC
176 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Rwjbh Observation Associates LLC
177 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123

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

Areas of Expertise CMS Part B claims 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
774 services302 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
197 services78 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
18 services18 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
14 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

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.

55.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality38.15
Improvement Activities40

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 Vijay Kodadhala's NPI number?

The NPI number for Vijay Kodadhala is 1336589753. It was assigned to this individual provider in the NPPES registry on June 29, 2013.

Where is Vijay Kodadhala located?

Vijay Kodadhala practices at 9635 Washington Ave, Laurel, MD 20723. The listed phone number is (202) 330-3696.

What is Vijay Kodadhala's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Vijay Kodadhala enrolled in Medicare?

Yes. Vijay Kodadhala 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.

Which organizations bill Medicare for Vijay Kodadhala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijay Kodadhala reassigns Medicare benefits to 4 organizations: Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Robert Wood Johnson Medical Associates (New Brunswick, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Rwjbh Observation Associates LLC (Livingston, NJ). Each 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 Vijay Kodadhala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vijay Kodadhala accept?

Health plans from Ambetter Health, Blue Cross and Blue Shield of Texas and Oscar Health list Vijay Kodadhala 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 Vijay Kodadhala affiliated with any hospitals?

According to CMS data, Vijay Kodadhala is affiliated with Robert Wood Johnson University Hospital At Rahway, Community Medical Center and Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Vijay Kodadhala was last updated on June 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.