DR. ALEXIS KODA (MD) – Emergency Medicine Physician, NPI 1699157651

DR. ALEXIS KODA (MD) is a healthcare provider. based in Springfield, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. C204757 (CA). The NPI Number for DR. ALEXIS KODA (MD) is 1699157651

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXIS KODA (MD)
NPI
1699157651
Phone
(310) 562-2622
Address
513 W VINE ST
Enumeration Date
25 June 2015
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2679577027
Graduation Year
2015 (11 years ago)
PAC ID
2668765504
Group Practice PAC ID
7416861885
Professional Enrollment ID
I20180905000849
Address ID
PA191522007PH2601XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:10State licenses:3Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for DR. ALEXIS KODA (MD)

  • 513 W VINE ST

    SPRINGFIELD, IL 627042844

    Phone: (310) 562-2622

    Type: Mailing

  • 701 N 1ST ST

    SPRINGFIELD, IL 627023757

    Phone: (217) 545-3518

    Type: Location

  • 2601 Holme Ave

    Philadelphia, PA 191522007

    Phone: (215) 335-6562

    Type: Location

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-8888

    Type: Mailing

  • 41 UNIVERSITY DR STE 106

    NEWTOWN, PA 189401873

    Phone:

    Type: Mailing

  • 2601 HOLME AVE

    PHILADELPHIA, PA 191522007

    Phone: (215) 335-6562

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180905000849IEmergency MedicinePATBD
I20251209001220IEmergency MedicineCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making164158$0
99284Emergency department visit with moderate level of medical decision making132130$0
99283Emergency department visit with low level of medical decision making5756$0
99291Critical care, first 30-74 minutes3736$0
View full utilization report →

Insurance plans in this area (ZIP 62704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416861885View full group profile
NameSpecialtyState
Nurse PractitionerPA
-PA
-PA
-PA
Nurse PractitionerPA
G A S T R O E N T E R O L O G YPA
H O S P I T A L I S TPA
Emergency MedicinePA
H O S P I T A L I S TNY
Infectious DiseasePA

Reviews

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Frequently asked questions

Can I cross-check DR. ALEXIS KODA (MD) using NPI 1699157651?
NPI 1699157651 belongs to DR. ALEXIS KODA (MD); compare other details if you need extra assurance.
Is DR. ALEXIS KODA (MD) shown as active in public data?
Registry records indicate DR. ALEXIS KODA (MD) maintains an active NPI.
How would a patient describe DR. ALEXIS KODA (MD)'s focus?
For DR. ALEXIS KODA (MD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. ALEXIS KODA (MD) associated with Springfield?
Public fields place DR. ALEXIS KODA (MD) around Springfield, Illinois. Always confirm the exact site before visiting.
What does 7 location(s) imply?
7 practice locations appear in the available data.