LINCY KOODALY CRNA
NPI 1588021844
Nurse Anesthetist, Certified Registered in Baltimore, MD
About Lincy Koodaly Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LINCY KOODALY CRNA (NPI 1588021844) is an individual nurse anesthetist, certified registered in Baltimore, Maryland, licensed in Maryland (R167597) and active in the NPI registry since January 2016. She is affiliated with University Of Maryland Medical Center and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
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
Lincy Koodaly Crna 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.
Medicare Billing Reassignments
4Medicare enrollment records show Lincy Koodaly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 966 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Shock Trauma Associates PA
- 541 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: University Of Maryland Anesthesiology Associates PA
- 303 clinicians in this Medicare group
Baltimore, MD 21228
- Reassigned Medicare billing, Maryland enrollment
- 96 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Maryland Medical Center
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21225 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.
BALTIMORE, MD 21225
BALTIMORE, MD 21225
BALTIMORE, MD 21225
BALTIMORE, MD 21225
BALTIMORE, MD 21225
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 Lincy Koodaly's NPI number?
The NPI number for Lincy Koodaly is 1588021844. It was assigned to this individual provider in the NPPES registry on January 18, 2016.
Where is Lincy Koodaly located?
Lincy Koodaly practices at 3001 S Hanover St, Baltimore, MD 21225. The listed phone number is (410) 350-3200.
What is Lincy Koodaly's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Lincy Koodaly enrolled in Medicare?
Yes. Lincy Koodaly 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 Lincy Koodaly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lincy Koodaly reassigns Medicare benefits to 4 organizations: University Of Maryland Community Medical Group, Inc. (Baltimore, MD), Shock Trauma Associates, P.A. (Baltimore, MD), University Of Maryland Anesthesiology Associates P.A. (Baltimore, MD) and Digestive Disease Associates, LLC (Baltimore, MD). 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 Lincy Koodaly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lincy Koodaly affiliated with any hospitals?
According to CMS data, Lincy Koodaly is affiliated with University Of Maryland Medical Center.
When was this NPI record last updated?
The NPPES record for Lincy Koodaly was last updated on November 14, 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.
# Lincy Koodaly, CRNA · NPI 1588021844
Nurse Anesthetist, Certified Registered physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since January 18, 2016.
## Identity
- **NPI:** 1588021844 (Entity type: Individual)
- **Enumerated:** January 18, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R167597 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 3001 S HANOVER ST, Baltimore, MD 21225-1233
- **Phone:** (410) 350-3200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Of Maryland Community Medical Group, Inc. (NPI 1477530624, Baltimore, MD); Shock Trauma Associates, P.A. (NPI 1679512909, Baltimore, MD); University Of Maryland Anesthesiology Associates P.A. (NPI 1033915145, Baltimore, MD); Digestive Disease Associates, LLC (NPI 1407400955, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 14, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1588021844) · Data from the CMS NPPES public registry.