DR. MANGA DEVI KODALI (M.D.) – Hematology & Oncology Physician, NPI 1881635118

DR. MANGA DEVI KODALI (M.D.) is a healthcare provider. based in Evansville, Indiana. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 17645 (MS). The NPI Number for DR. MANGA DEVI KODALI (M.D.) is 1881635118

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANGA DEVI KODALI (M.D.)
NPI
1881635118
Phone
(812) 450-6815
Address
PO BOX 3868
Enumeration Date
9 June 2006
Last Update Date
5 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8128853280
Graduation Year
1996 (30 years ago)
PAC ID
3173603164
Group Practice PAC ID
3971671330
Professional Enrollment ID
I20130925000885
Address ID
IN475911038VI520XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

314 HEMATOLOGY/ONCOLOGY in IN

Provider Addresses for DR. MANGA DEVI KODALI (M.D.)

  • Evansville Post office, 402, Water Street, Evansville, Rock County, Wisconsin, 53536, United States

    EVANSVILLE, IN 477373868

    Phone: (812) 450-6815

    Fax: (812) 450-6822

    Type: Mailing

  • 4055 GATEWAY BLVD

    NEWBURGH, IN 476308947

    Phone: (812) 858-3051

    Fax: (812) 858-3060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 114 Open Payments records for all available years, with a total value of $5,610.

Total Amount is formed as General ($5,610) + Research ($0) + Ownership ($0) = $5,610.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($2,801).

Total Amount

$5,610

General + Research + Ownership

Payments

114

Total payment records

General Amount

$5,610

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-09-25

PECOS data refreshed: 2026-05-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130925000885IHematology/OncologyINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,475602$0
99215Established patient office or other outpatient visit, 40-54 minutes385210$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes20980$0
99205New patient office or other outpatient visit, 60-74 minutes106106$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9239$0
View full utilization report →

Insurance plans in this area (ZIP 47737)

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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: 3971671330View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. MANGA DEVI KODALI (M.D.) in U.S. healthcare records?
The official identifier for DR. MANGA DEVI KODALI (M.D.) is NPI 1881635118.
Is there an active status for DR. MANGA DEVI KODALI (M.D.)?
For scheduling context, DR. MANGA DEVI KODALI (M.D.) is shown as active in the registry.
What expertise is attributed to DR. MANGA DEVI KODALI (M.D.)?
DR. MANGA DEVI KODALI (M.D.)'s specialty line reads Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MANGA DEVI KODALI (M.D.) associated with Evansville?
Public fields place DR. MANGA DEVI KODALI (M.D.) around Evansville, Indiana. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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