SREEDEVI KODALI (M.D.) – Dermatology Physician, NPI 1649498544

SREEDEVI KODALI (M.D.) is a healthcare provider. based in Colleyville, Texas. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. M6238 (TX). The NPI Number for SREEDEVI KODALI (M.D.) is 1649498544

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
SREEDEVI KODALI (M.D.)
NPI
1649498544
Phone
(817) 868-1616
Address
5013 HERITAGE AVE STE 100
Enumeration Date
23 April 2007
Last Update Date
22 August 2013

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
8178681616
Graduation Year
2004 (22 years ago)
PAC ID
1759453483
Group Practice PAC ID
7810031747
Professional Enrollment ID
I20080711000446
Address ID
TX760345990CO5013XAVEX301
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

1,287 DERMATOLOGY in TX

Provider Addresses for SREEDEVI KODALI (M.D.)

  • 5013 HERITAGE AVE STE 100

    COLLEYVILLE, TX 760345990

    Phone: (817) 868-1616

    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 36 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: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($181).

Total Amount

$783

General + Research + Ownership

Payments

36

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

2024-12-10

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: 2008-07-11

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
I20080711000446IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,606313$0
99213Established patient office or other outpatient visit, 20-29 minutes817681$0
17000Destruction of precancer skin growth, 1 growth520399$0
11102Biopsy of related skin growth, first growth328279$0
99214Established patient office or other outpatient visit, 30-39 minutes274237$0
View full utilization report →

Insurance plans in this area (ZIP 76034)

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Provider's Procedures

SREEDEVI KODALI (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX11101Biopsy of each additional growth of skin and/or tissue10780
DERMATOLOGYTX17003Destruction of 2-14 skin growths518147

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: 7810031747View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
D E R M A T O L O G YTX

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Frequently asked questions

What is the registry number for SREEDEVI KODALI (M.D.)?
The registry entry for SREEDEVI KODALI (M.D.) shows NPI 1649498544.
Is SREEDEVI KODALI (M.D.)'s NPI status active today?
Active status means SREEDEVI KODALI (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say SREEDEVI KODALI (M.D.) does?
Insurance directories may phrase it differently, but here SREEDEVI KODALI (M.D.) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SREEDEVI KODALI (M.D.)?
SREEDEVI KODALI (M.D.) is associated with Colleyville, Texas in the same public data insurers reference.
Can I export SREEDEVI KODALI (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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