Dr John Kodatt, MD - Medicare Emergency Medicine in Nampa, ID

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Dr John Kodatt, MD is a medicare enrolled "Family Medicine" physician in Nampa, Idaho. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Physician Services Pc, Urgent Care Services Southeast Psc, Saint Alphonsus Regional Medical Center Inc and his current practice location is 1510 12th Ave Rd Ste 200, Nampa, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 302-6800.

Dr John Kodatt is licensed to practice in Idaho (license number 2171959) 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 1083354039.

Contact Information

Dr John Kodatt, MD
1510 12th Ave Rd Ste 200,
Nampa, ID 83686-6946
(208) 302-6800
(208) 302-6855

Map and Direction




Physician's Profile

Full NameDr John Kodatt
GenderMale
SpecialityEmergency Medicine
Experience3 Years
Location1510 12th Ave Rd Ste 200, Nampa, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Kodatt graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1083354039
  • Provider Enumeration Date: 03/29/2022
  • Last Update Date: 09/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9234590076
  • Enrollment ID: I20240201003841

Medical Identifiers

Medical identifiers for Dr John Kodatt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083354039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine R6281 (Kentucky)Secondary
207Q00000XFamily Medicine 2171959 (Idaho)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
T J Samson Community HospitalGlasgow, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852529
Urgent Care Services Southeast Psc034569476617
Saint Alphonsus Regional Medical Center Inc3476462359541

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. Dr John Kodatt allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150
Entity NameSouth Central Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427611854
PECOS PAC ID: 6507195492
Enrollment ID: O20210126001625
Entity NameUrgent Care Services Southeast Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427831759
PECOS PAC ID: 0345694766
Enrollment ID: O20231003002701

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. Dr John Kodatt 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 AddressPractice Location Address
Dr John Kodatt, MD
Po Box 190930,
Boise, ID 83719-0930

Ph: (208) 302-9342		Dr John Kodatt, MD
1510 12th Ave Rd Ste 200,
Nampa, ID 83686-6946

Ph: (208) 302-6800

Reviews and Comments


Family Medicine Doctors in Nampa, ID

Dr. Julia Marie Jensen, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 223 16th Ave N, Nampa, ID 83687
Phone: 208-466-7869    Fax: 208-466-5359
Jason Johnston, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1820 Caldwell Blvd, Nampa, ID 83651
Phone: 208-466-6567    Fax: 208-466-7922
Stuart Black, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 223 16th Ave N, Nampa, ID 83687
Phone: 208-466-7869    Fax: 208-466-5359
Heidi Elizabeth Shields, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1150 N Sister Catherine Way, Nampa, ID 83687
Phone: 208-302-7000    Fax: 208-302-7055
Robert B Buxton, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1510 12th Ave Rd, Ste 200, Nampa, ID 83886
Phone: 208-302-6800    Fax: 208-302-6855
Courtney Scott Isaacs, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1510 12th Ave Rd Ste 200, Nampa, ID 83686
Phone: 208-302-6800    Fax: 208-302-6855
Jesse Tyler Mcchane, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 207 1st St S, Nampa, ID 83651
Phone: 208-466-7869    Fax: 208-466-5359

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.