DR. LAVANYA A KODAVALI (MD) – Internal Medicine Physician, NPI 1477598068

DR. LAVANYA A KODAVALI (MD) is a healthcare provider. based in Hammonton, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA08022400 (NJ). The NPI Number for DR. LAVANYA A KODAVALI (MD) is 1477598068

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAVANYA A KODAVALI (MD)
NPI
1477598068
Phone
(609) 561-1700
Address
301 SPRING GARDEN RD
Enumeration Date
18 June 2006
Last Update Date
17 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6095611700
Graduation Year
1994 (32 years ago)
PAC ID
9234142753
Group Practice PAC ID
6406742592
Professional Enrollment ID
I20060728000031
Address ID
NJ080372516HA301XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

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Provider Addresses for DR. LAVANYA A KODAVALI (MD)

  • Ancora Psychiatric Hospital, 301, Spring Garden Road, Ancora, Winslow, Hammonton, Camden County, New Jersey, 08037, United States

    HAMMONTON, NJ 080379699

    Phone: (609) 561-1700

    Fax: (609) 561-2509

    Type: Mailing

  • 101, Carnie Boulevard, Voorhees Township, Camden County, New Jersey, 08043, United States

    VOORHEES, NJ 080431548

    Phone: (856) 762-1940

    Fax: (856) 762-1777

    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: 2006-07-28

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
I20060728000031IInternal MedicineNJTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 08037)

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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: 6406742592View full group profile
NameSpecialtyState
P S Y C H I A T R YKY
Certified Nurse Midwife (Cnm)NJ
P S Y C H I A T R YNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Family PracticeMD
-NJ
-NJ
Internal MedicinePA
-NJ

Reviews

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Frequently asked questions

How is DR. LAVANYA A KODAVALI (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. LAVANYA A KODAVALI (MD) with NPI 1477598068.
Is DR. LAVANYA A KODAVALI (MD) listed as active for patients and plans?
The listing shows DR. LAVANYA A KODAVALI (MD) as active in the NPI system.
What is DR. LAVANYA A KODAVALI (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. LAVANYA A KODAVALI (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. LAVANYA A KODAVALI (MD) serve?
DR. LAVANYA A KODAVALI (MD)'s listing highlights Hammonton, New Jersey; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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