Dheeraj Kodali, MD in Stockton, CA - Medicare Hematology/oncology

Dheeraj Kodali, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Stockton, California. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Stockton Hematology Oncology Medical Group Inc and his current practice location is 2626 N California St Ste B, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 466-2626.

Dheeraj Kodali is licensed to practice in California (license number A172284) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508179607.

Contact Information

	Dheeraj Kodali, MD
	2626 N California St Ste B, Stockton, CA 95204-5500
	(209) 466-2626
	(209) 466-7153

Map and Direction

Physician's Profile

Full Name	Dheeraj Kodali
Gender	Male
Speciality	Hematology/oncology
Experience	15 Years
Location	2626 N California St Ste B, Stockton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dheeraj Kodali graduated from medical school in 2009

NPI Data:

NPI Number: 1508179607
Provider Enumeration Date: 07/17/2010
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 5991955023
Enrollment ID: I20210804001752

Medical Identifiers

Medical identifiers for Dheeraj Kodali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508179607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	26214 (West Virginia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	26214 (West Virginia)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	A172284 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mark Twain Medical Center	San andreas, CA	Hospital
St Joseph's Medical Center Of Stockton	Stockton, CA	Hospital
Sutter Tracy Community Hospital	Tracy, CA	Hospital
Doctors Hospital Of Manteca	Manteca, CA	Hospital
Sutter Amador Hospital	Jackson, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stockton Hematology Oncology Medical Group Inc	1456369800	8

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dheeraj Kodali allows following entities to bill medicare on his behalf.

Entity Name	Stockton Hematology Oncology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922175074 PECOS PAC ID: 1456369800 Enrollment ID: O20060328000211

Entity Name	Mark Twain Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508968819 PECOS PAC ID: 8820073711 Enrollment ID: O20061006000227

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dheeraj Kodali is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dheeraj Kodali, MD 2626 N California St Ste B, Stockton, CA 95204-5500 Ph: (209) 466-2626	Dheeraj Kodali, MD 2626 N California St Ste B, Stockton, CA 95204-5500 Ph: (209) 466-2626

Reviews and Comments

Internal Medicine Doctors in Stockton, CA

Jasmine Hundal, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-751-1919
Dr. Navneet Kaur, M.B.B.S Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1805 N California St Ste 201, Stockton, CA 95204 Phone: 209-645-4005 Fax: 209-645-6344
David C Lim, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 415 E Harding Way, Suite D, Stockton, CA 95204 Phone: 209-944-5750
Xing-jian Lu, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Kwabena Opoku-mensah Adubofour, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2524 E Main St, Stockton, CA 95205 Phone: 800-249-9497 Fax: 800-249-9497
Dr. Ronald A Kass, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1801 E March Ln Ste C310, Stockton, CA 95210 Phone: 209-465-5731 Fax: 209-465-0230
Issa M. Fakhouri, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000

Dheeraj Kodali, MD - Medicare Hematology/oncology in Stockton, CA