NIKITHA KODALI MD
NPI 1386332039
Emergency Medicine in Fresno, CA
About Nikitha Kodali Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKITHA KODALI MD (NPI 1386332039) is an individual emergency medicine provider in Fresno, California, licensed in California (A209525) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nikitha Kodali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nikitha Kodali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nikitha Kodali's NPI number?
The NPI number for Nikitha Kodali is 1386332039. It was assigned to this individual provider in the NPPES registry on April 28, 2023.
Where is Nikitha Kodali located?
Nikitha Kodali practices at 7300 N Fresno St, Fresno, CA 93720. The listed phone number is (215) 335-6520.
What is Nikitha Kodali's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Nikitha Kodali enrolled in Medicare?
Yes. Nikitha Kodali is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nikitha Kodali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nikitha Kodali reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Nikitha Kodali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nikitha Kodali was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Nikitha Kodali, MD · NPI 1386332039
Emergency Medicine physician in Fresno, California. Individual provider, active in the CMS NPPES registry since April 28, 2023.
## Identity
- **NPI:** 1386332039 (Entity type: Individual)
- **Enumerated:** April 28, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A209525 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7300 N FRESNO ST, Fresno, CA 93720-2941
- **Phone:** (215) 335-6520
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386332039) · Data from the CMS NPPES public registry.