MS. SANGHAMITRA KODUKULA RN, BSN, MSN
NPI 1679887954
Nurse Anesthetist, Certified Registered in New York, NY

Active since July 29, 2010PECOS EnrolledAccepts Medicare Assignment
1275 YORK AVE, NEW YORK, NY 10065(212) 639-6840 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Sanghamitra Kodukula Rn, Bsn, Msn NPPES

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

MS. SANGHAMITRA KODUKULA RN, BSN, MSN (NPI 1679887954) is an individual nurse anesthetist, certified registered in New York, New York, licensed in New York (551691) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Metrowest Medical Center, and maintains a secondary practice location in Putnam.

NPPES Registry Identity

NPI1679887954
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. SANGHAMITRA KODUKULACredential: RN, BSN, MSN
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 29, 2010
Last NPPES UpdateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1679887954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NY · 551691
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · NeuroscienceTaxonomy 163WN0800X · License 551691 (NY)
1275 YORK AVE, New York, NY 10065

Secondary Practice Location 1

Location 1320 Pomfret StPutnam, CT 06260-1836 · Phone (860) 928-6541

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

Ms. Sanghamitra Kodukula Rn, Bsn, Msn 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 ID8224227756
PECOS Enrollment IDI20150221000130
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

5

Medicare enrollment records show Sanghamitra Kodukula reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
320 POMFRET ST
Putnam, CT 06260
  • Reassigned Medicare billing, Connecticut enrollment
  • 225 clinicians in this Medicare group
Anesthesiology
300 GROVE ST
Worcester, MA 01605
  • Reassigned Medicare billing, Massachusetts enrollment
  • 57 clinicians in this Medicare group
Anesthesiology
115 LINCOLN ST
Framingham, MA 01702
  • Reassigned Medicare billing, Massachusetts enrollment
  • 42 clinicians in this Medicare group
Anesthesiology
45A DISCOVERY WAY
Acton, MA 01720
  • Reassigned Medicare billing, Massachusetts enrollment
  • 125 clinicians in this Medicare group
Anesthesiology
135 LAKE ST
Middleton, MA 01949
  • Reassigned Medicare billing, Massachusetts enrollment
  • 98 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 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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
66 services64 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
51 services51 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
29 services29 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
28 services27 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Metrowest Medical Center

Acute Care Hospitals · Framingham, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220175
Location115 Lincoln StreetFramingham, MA 01701 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 20

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

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Sanghamitra Kodukula's NPI number?

The NPI number for Sanghamitra Kodukula is 1679887954. It was assigned to this individual provider in the NPPES registry on July 29, 2010.

Where is Sanghamitra Kodukula located?

Sanghamitra Kodukula practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-6840.

What is Sanghamitra Kodukula's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Sanghamitra Kodukula enrolled in Medicare?

Yes. Sanghamitra Kodukula 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 Sanghamitra Kodukula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanghamitra Kodukula reassigns Medicare benefits to 5 organizations: North American Partners In Anesthesia Connecticut PC (Putnam, CT), Tri Anesthesia LLC (Worcester, MA), Metrowest Anesthesia Associates LLC (Framingham, MA), Gbaa Holdings, PLLC (Acton, MA) and Icon Anesthesia Services Of New England LLC (Middleton, MA). 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 Sanghamitra Kodukula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sanghamitra Kodukula affiliated with any hospitals?

According to CMS data, Sanghamitra Kodukula is affiliated with Metrowest Medical Center.

When was this NPI record last updated?

The NPPES record for Sanghamitra Kodukula was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.