SANTHISRI KODALI (MD) – Internal Medicine Physician, NPI 1114210390

SANTHISRI KODALI (MD) is a healthcare provider. based in Hannibal, Missouri. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 2023025438 (MO). The NPI Number for SANTHISRI KODALI (MD) is 1114210390

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SANTHISRI KODALI (MD)
NPI
1114210390
Phone
(573) 629-3500
Address
6500 HOSPITAL DR
Enumeration Date
23 May 2011
Last Update Date
18 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5732481300
Graduation Year
2011 (15 years ago)
PAC ID
3375976517
Group Practice PAC ID
1254236300
Professional Enrollment ID
I20230720003157
Address ID
MO634016890HA6500XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:15State licenses:3Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

Provider Addresses for SANTHISRI KODALI (MD)

  • 6500 HOSPITAL DR

    HANNIBAL, MO 634016890

    Phone: (573) 629-3500

    Fax: (573) 629-3314

    Type: Location

  • 15412 PRESTANCIA DR

    AUSTIN, TX 78717

    Phone: (512) 940-2158

    Type: Mailing

  • 6565 FANNIN, MGJ9-002

    HOUSTON, TX 77030

    Phone: (713) 441-1577

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $2,635.

Total Amount is formed as General ($2,635) + Research ($0) + Ownership ($0) = $2,635.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($1,354).

Total Amount

$2,635

General + Research + Ownership

Payments

46

Total payment records

General Amount

$2,635

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-07-20

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
I20191203000188ICardiovascular Disease (Cardiology)TXTBD
I20230720003157IInternal MedicineMOTBD

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 minutes9991$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report6361$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3314$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function2424$0
93293Telephonic rhythm strip evaluation of single, dual, multiple lead or leadless pacemaker system, up to 90 days2221$0
View full utilization report →

Insurance plans in this area (ZIP 63401)

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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: 1254236300View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
Internal MedicineMO
Nephrology, Internal Medicine, Nephrology, Internal MedicineIL
Nurse PractitionerMO
Emergency MedicineMO
Nurse PractitionerMO
P A T H O L O G YMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the registry number for SANTHISRI KODALI (MD)?
The registry entry for SANTHISRI KODALI (MD) shows NPI 1114210390.
Is SANTHISRI KODALI (MD) currently accepting referrals based on NPI status?
Registry metadata lists SANTHISRI KODALI (MD) as active.
What type of care does SANTHISRI KODALI (MD) provide?
SANTHISRI KODALI (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit SANTHISRI KODALI (MD) in Hannibal, Missouri?
For routing, start with Hannibal, Missouri for SANTHISRI KODALI (MD), then verify phone and hours locally.
Can I export SANTHISRI KODALI (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.