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DR. RAHUL KODALI M.D
NPI 1356606164
Psychiatry & Neurology - Psychiatry in Minersville, PA

Active since July 08, 2012PECOS Enrolled
210 SUNBURY ST, MINERSVILLE, PA 17954(570) 544-9123(570) 544-9263 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2022, Jul 21, 2022, Mar 17, 2018 (3 updates tracked since 2018).

About Dr. Rahul Kodali M.d NPPES

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

DR. RAHUL KODALI M.D (NPI 1356606164) is an individual psychiatry provider in Minersville, Pennsylvania, licensed in Pennsylvania (MD460750) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356606164
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RAHUL KODALICredential: M.D
Location Address210 SUNBURY STMinersville, PA 17954-1346
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (570) 544-9123 · Fax (570) 544-9263
Phone(570) 544-9123
Fax(570) 544-9263
Sole ProprietorNo
Enumeration DateJuly 8, 2012
Last NPPES UpdateOctober 10, 20223 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1356606164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD460750
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
210 SUNBURY ST, Minersville, PA 17954
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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. Rahul Kodali M.d 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 17954 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 4

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

PRIMARY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
210 SUNBURY ST
MINERSVILLE, PA 17954
Schuylkill County (570) 544-9123
MRS. SAMANTHA NICOLLE BECKER
Nurse Practitioner (Family)
210 SUNBURY ST
MINERSVILLE, PA 17954
Schuylkill County (570) 544-9123
CYNTHIA L LUBINSKY DO
Family Medicine
210 SUNBURY ST
MINERSVILLE, PA 17954
Schuylkill County (570) 544-9123
DR. LYNDA C.S. GRAVES M.D.
Family Medicine
210 SUNBURY ST
MINERSVILLE, PA 17954
Schuylkill County (570) 544-9123

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 Rahul Kodali's NPI number?

The NPI number for Rahul Kodali is 1356606164. It was assigned to this individual provider in the NPPES registry on July 8, 2012.

Where is Rahul Kodali located?

Rahul Kodali practices at 210 Sunbury St, Minersville, PA 17954. The listed phone number is (570) 544-9123.

What is Rahul Kodali's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rahul Kodali enrolled in Medicare?

Yes. Rahul Kodali is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rahul Kodali was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.