| Dr Lavanya Kodali, MD | |
|
1500 N James St, Rome, NY 13440-2844 | |
| (153) 387-0003 | |
| Not Available |
| Full Name | Dr Lavanya Kodali |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 30 Years |
| Location | 1500 N James St, Rome, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518058569 | NPI | - | NPPES |
| K142-0001 | Other | VA | CAREFIRST 2005 |
| 1518058569 | Medicaid | VA | |
| 04193115 | Medicaid | NY | |
| 484645 | Other | VA | NCPPO |
| 9385084 | Other | VA | PHCS |
| 033579 | Other | VA | ANTHEM |
| 293961 | Other | VA | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 231455 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rome Memorial Hospital, Inc | Rome, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rome Memorial Hospital, Inc. | 9638087273 | 42 |
| Entity Name | Premier Anesthesia Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063658961 PECOS PAC ID: 7719041102 Enrollment ID: O20090129000560 |
| Entity Name | Genesee Physician Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598138356 PECOS PAC ID: 6002114774 Enrollment ID: O20160413000238 |
| Entity Name | Rome Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962224162 PECOS PAC ID: 9638087273 Enrollment ID: O20250130001383 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lavanya Kodali, MD Po Box 2005, East Syracuse, NY 13057-4505 Ph: (315) 449-0513 | Dr Lavanya Kodali, MD 1500 N James St, Rome, NY 13440-2844 Ph: (153) 387-0003 |
Dr. Richard Stuart Feltman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 N James St, Rome, NY 13440 Phone: 315-388-7000 | |
Michelle Baker, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 N James St, Rome, NY 13440 Phone: 315-338-7000 | |
Dr. Emmanuel G Nebab, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 N James St, Rome, NY 13440 Phone: 315-338-7000 | |
Nicole Yi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 N James St, Rome, NY 13440 Phone: 315-338-7000 | |
Dr. Chau-fang Chen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1500 N James St, Rome, NY 13440 Phone: 315-336-6716 |