SARANYA KODALI (M.D.) – Hematology & Oncology Physician, NPI 1669813630

SARANYA KODALI (M.D.) is a healthcare provider. based in Williston, Vermont. specializing in HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 256360 (MH). The NPI Number for SARANYA KODALI (M.D.) is 1669813630

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SARANYA KODALI (M.D.)
NPI
1669813630
Phone
(248) 719-4748
Address
39 MAIDSTONE LANE
Enumeration Date
8 July 2013
Last Update Date
11 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106567177
Graduation Year
2011 (15 years ago)
PAC ID
8325270408
Group Practice PAC ID
5395658934
Professional Enrollment ID
I20231125000240
Address ID
TX782174660SA2130XLOOP301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:12State licenses:3Digital endpointsOther names

32 HEMATOLOGY/ONCOLOGY in VT

Provider Addresses for SARANYA KODALI (M.D.)

  • 39 MAIDSTONE LANE

    WILLISTON, VT 05495

    Phone: (248) 719-4748

    Type: Mailing

  • 130 FISHER ROAD

    BERLIN, VT 05602

    Phone: (802) 371-4100

    Type: Location

  • 130 Fisher Road

    Berlin, VT 05602

    Phone: (802) 371-4100

    Type: Location

  • PO BOX 911230

    DALLAS, TX 753911230

    Phone: (972) 997-8000

    Type: Mailing

  • 2130 NE LOOP 410 STE 100

    SAN ANTONIO, TX 782174660

    Phone: (210) 656-7177

    Fax: (210) 656-3687

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Genmab U.S., Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Genmab U.S., Inc.$125
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: 2023-11-25

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
I20231125000240IHematology/OncologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05495)

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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: 5395658934View full group profile
NameSpecialtyState
Surgical OncologyTX
Medical Oncology, Internal MedicineTX
Certified Clinical Nurse Specialist (Cns)TX
Medical Oncology, Internal MedicineTX
Medical Oncology, Internal MedicineTX
Hematology/Oncology, Internal Medicine, Medical OncologyTX
Radiation OncologyTX
Nurse PractitionerTX
-TX
-TX

Reviews

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Frequently asked questions

Is there an official ID for SARANYA KODALI (M.D.) in U.S. healthcare records?
The official identifier for SARANYA KODALI (M.D.) is NPI 1669813630.
Active or inactive — what applies to SARANYA KODALI (M.D.)?
You should see SARANYA KODALI (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for SARANYA KODALI (M.D.)?
At a glance, SARANYA KODALI (M.D.) is tied to Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SARANYA KODALI (M.D.)?
Directory geography for SARANYA KODALI (M.D.) centers on Williston, Vermont.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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