DEEPTHI KODALI (M.D.) – Hematology & Oncology Physician, NPI 1750738860
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
210 HEMATOLOGY/ONCOLOGY in CT
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Provider Addresses for DEEPTHI KODALI (M.D.)
Burgdorf/Bank of America Health Center, 131, Coventry Street, Hartford, Hartford County, Connecticut, 06112, United States
BURGDORF CLINIC BURGDORF / FLEET MEDICAL CENTER
HARTFORD, CT 06112
Phone: (860) 714-2813
Fax: (860) 714-8541
Type: Location
24373 E HARRIER LOOP
LIBERTY LAKE, WA 990195400
Phone: (304) 993-9323
Type: Mailing
1204 N VERCLER RD
SPOKANE VALLEY, WA 992161020
Phone: (509) 228-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 120 Open Payments records for all available years, with a total value of $3,168.
Total Amount is formed as General ($3,168) + Research ($0) + Ownership ($0) = $3,168.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($739).
Total Amount
$3,168
General + Research + Ownership
Payments
120
Total payment records
General Amount
$3,168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $739 |
| PFIZER INC. | $255 |
| AstraZeneca Pharmaceuticals LP | $169 |
| Lilly USA, LLC | $147 |
| Genentech USA, Inc. | $146 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-07-19
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230719002208 | I | Hematology/Oncology | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 70 | 45 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 69 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 18 | $0 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 21 | 12 | $0 |
Insurance plans in this area (ZIP 06112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | WA | |
| Surgical Oncology | IL | |
| Nurse Practitioner | ID | |
| - | WA | |
| Nurse Practitioner | MT | |
| Surgical Oncology | WA | |
| Radiation Oncology | WA | |
| Medical Oncology, Hematology/Oncology | WA |
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