1. Home
  2. Directory
  3. Kentucky
  4. Elizabethtown
  5. Psychiatry Neurology
  6. NPI Profile

SURESH BABU KODALI M.D.
NPI 1548352156
Psychiatry & Neurology - Psychiatry in Elizabethtown, KY

Active since September 29, 2006
708 WESTPORT RD STE 103, ELIZABETHTOWN, KY 42701(270) 766-1234(270) 766-1144 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suresh Babu Kodali M.d. NPPES

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

SURESH BABU KODALI M.D. (NPI 1548352156) is an individual psychiatry provider in Elizabethtown, Kentucky, licensed in Kentucky (24553) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1548352156
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSURESH BABU KODALICredential: M.D.
Location Address708 WESTPORT RD STE 103Elizabethtown, KY 42701-2866
Mailing Address708 Westport Rd Ste 103Elizabethtown, KY 42701-2866 · (270) 766-1234 · Fax (270) 766-1144
Phone(270) 766-1234
Fax(270) 766-1144
Sole ProprietorYes
Enumeration DateSeptember 29, 2006
Last NPPES UpdateSeptember 27, 2011
✔ NPI 1548352156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KY · 24553
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.
708 WESTPORT RD STE 103, Elizabethtown, KY 42701
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN1452201KY
Medicaid64245533KY
Medicare PIN260049790KY

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%24 patients5/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%24 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%106 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%56 patients5/55-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 6

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

MARGARET BENNETT LCSW
Social Worker (Clinical)
708 WESTPORT RD STE 103
ELIZABETHTOWN, KY 42701
Hardin County (270) 766-1397
SANDRA KAY POLK BS
Case Manager/Care Coordinator
708 WESTPORT RD STE 103
ELIZABETHTOWN, KY 42701
Hardin County (270) 766-1397
ASHLEY MILLER MSW
Social Worker
708 WESTPORT RD STE 103
ELIZABETHTOWN, KY 42701
Hardin County (270) 766-1397
RONIQUE BREON COFFIE
Student in an Organized Health Care Education/Training Program
708 WESTPORT RD STE 103
ELIZABETHTOWN, KY 42701
Hardin County (270) 766-1397
ANNELIESE MONTGOMERY BSW
Case Manager/Care Coordinator
708 WESTPORT RD STE 103
ELIZABETHTOWN, KY 42701
Hardin County (270) 766-1397
ALEXANDRA ELIZABETH LUTHER MSW, CSW
Social Worker (Clinical)
708 WESTPORT RD STE 103
ELIZABETHTOWN, KY 42701
Hardin County (270) 766-1397

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 Suresh Kodali's NPI number?

The NPI number for Suresh Kodali is 1548352156. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Suresh Kodali located?

Suresh Kodali practices at 708 Westport Rd Ste 103, Elizabethtown, KY 42701. The listed phone number is (270) 766-1234.

What is Suresh Kodali's specialty?

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

When was this NPI record last updated?

The NPPES record for Suresh Kodali was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.