DR. SRINIVASA RAO KODALI – Psychiatry Physician, NPI 1255372058

DR. SRINIVASA RAO KODALI is a healthcare provider. based in Livonia, Michigan. specializing in PSYCHIATRY, GERIATRIC PSYCHIATRY. They hold a License No. 4301049890 (MI). The NPI Number for DR. SRINIVASA RAO KODALI is 1255372058

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. SRINIVASA RAO KODALI
NPI
1255372058
Phone
(734) 422-4748
Address
17940 FARMINGTON ROAD
Enumeration Date
10 June 2006
Last Update Date
4 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344224748
Graduation Year
1981 (45 years ago)
PAC ID
3779653563
Professional Enrollment ID
I20080605000403
Address ID
MI481523194LI17940RDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,213 PSYCHIATRY in MI

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Provider Addresses for DR. SRINIVASA RAO KODALI

  • 17940, Farmington Road, Livonia, Wayne County, Michigan, 48152, United States

    SUITE 230

    LIVONIA, MI 481523194

    Phone: (734) 422-4748

    Fax: (734) 422-5076

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $783.

Total Amount is formed as General ($783) + Research ($0) + Ownership ($0) = $783.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Alkermes, Inc. ($247).

Total Amount

$783

General + Research + Ownership

Payments

26

Total payment records

General Amount

$783

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2008-06-05

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
I20080605000403IPsychiatryMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes37064$0
99442Telephone medical discussion with physician, 11-20 minutes19235$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes7977$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes4630$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3632$0
View full utilization report →

Insurance plans in this area (ZIP 48152)

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Provider's Procedures

DR. SRINIVASA RAO KODALI performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYMI90792Psychiatric diagnostic evaluation with medical services3535

Reviews

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Frequently asked questions

What is DR. SRINIVASA RAO KODALI's NPI number?
DR. SRINIVASA RAO KODALI's NPI is 1255372058 — the number used across U.S. healthcare to identify this provider.
Would DR. SRINIVASA RAO KODALI appear as active to a payer?
You can treat DR. SRINIVASA RAO KODALI as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. SRINIVASA RAO KODALI?
DR. SRINIVASA RAO KODALI's specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. SRINIVASA RAO KODALI associated with Livonia?
Public fields place DR. SRINIVASA RAO KODALI around Livonia, Michigan. 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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