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DR. PADMAJA KODALI MD
NPI 1790747764
Internal Medicine - Nephrology in Maplewood, NJ

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
2040 MILLBURN AVE, SUITE 403, MAPLEWOOD, NJ 07040(973) 763-1100(973) 763-1122 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Padmaja Kodali Md NPPES

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

DR. PADMAJA KODALI MD (NPI 1790747764) is an individual nephrology provider in Maplewood, New Jersey, licensed in New Jersey (25MA06878300) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1790747764
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. PADMAJA KODALICredential: MD
Location Address2040 MILLBURN AVE, SUITE 403Maplewood, NJ 07040-3726
Mailing Address2040 Millburn Ave, Suite 403Maplewood, NJ 07040-3726 · (973) 763-1100 · Fax (973) 763-1122
Phone(973) 763-1100
Fax(973) 763-1122
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateApril 5, 2006
Last NPPES UpdateDecember 17, 2012
✔ NPI 1790747764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · 25MA06878300
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2040 MILLBURN AVE, Maplewood, NJ 07040
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH29863NJ
Medicare ID-Type Unspecified044450SZHNJ
Medicaid8348707NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Padmaja Kodali Md 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 ID2062408867
PECOS Enrollment IDI20040426000054
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.

Areas of Expertise CMS Part B claims 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,175 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,091 services117 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
239 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
121 services93 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
76 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Carewell Health Medical Center

Acute Care Hospitals · East Orange, NJ
1/5 CMS rating
OwnershipProprietary
CMS Certification Number310083
Location300 Central AveEast Orange, NJ 07018 · Essex County
Emergency services

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07040 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%381 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%743 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%39 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%132 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
28%68 patients2/55-star benchmark: 95%
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…
23%131 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
36%132 patients2/55-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 18

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

JASMINE SOWAH
Social Worker
2040 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (732) 639-0232
DR. ANGELO CECE D.M.D.
Dentist (General Practice)
2040 MILLBURN AVE, SUITE 105
MAPLEWOOD, NJ 07040
Essex County (973) 275-0700
DR. SAMUEL T DUNCAN M.D.
Ophthalmology
2040 MILLBURN AVE, SUITE 303
MAPLEWOOD, NJ 07040
Essex County (973) 762-4996
DR. OMAR M. BEY M.D.
Specialist
2040 MILLBURN AVE, 403
MAPLEWOOD, NJ 07040
Essex County (973) 761-6761
LAURA J DAVIS LCSW
Social Worker (Clinical)
2040 MILLBURN AVE, SUITE 205
MAPLEWOOD, NJ 07040
Essex County (973) 205-4875
KING DAVE HOME CARE LLC
In Home Supportive Care
2040 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (855) 546-6698
AIDA OB GYN ASSOCIATES CORPORATION
Specialist
2040 MILLBURN AVE, SUITE 401
MAPLEWOOD, NJ 07040
Essex County (973) 378-3111
KODALI NEPHROLOGY AND HYPERTENTION CENTER LLC
Internal Medicine (Nephrology)
2040 MILLBURN AVE, SUITE 403
MAPLEWOOD, NJ 07040
Essex County (973) 763-1100

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 Padmaja Kodali's NPI number?

The NPI number for Padmaja Kodali is 1790747764. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Padmaja Kodali located?

Padmaja Kodali practices at 2040 Millburn Ave Suite 403, Maplewood, NJ 07040. The listed phone number is (973) 763-1100.

What is Padmaja Kodali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Padmaja Kodali enrolled in Medicare?

Yes. Padmaja Kodali 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.

What insurance does Padmaja Kodali accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Padmaja Kodali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Padmaja Kodali affiliated with any hospitals?

According to CMS data, Padmaja Kodali is affiliated with Newark Beth Israel Medical Center, Clara Maass Medical Center, Cooperman Barnabas Medical Center, Carewell Health Medical Center and Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Padmaja Kodali was last updated on December 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.