Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Atsuko Kodama, MD, PHD

Individual provider Dermatology Physician · NPI 1699976340

Atsuko Kodama, MD, PHD is a Dermatology in Jenkintown, Pennsylvania. Qualified in 1988, 38 years ago. Accepts Medicare assignment. Licensed in Pennsylvania and Texas.

Years since qualifying
38
Licensed in
PA, TX
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

361 Highland Ave Ste 204
Jenkintown, PA 19046-2632
Phone: (267) 538-5045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD440883 (PA)
Dermatology Physician Taxonomy 207N00000X · Licence N7443 (TX)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence MD440883 (PA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence MD440883 (PA)

Record details

NPI number1699976340
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing address361 Highland Ave Ste 204, Jenkintown, PA 19046-2632

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS), PATHOLOGY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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