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

Dr. Lisa M. Kodadek, MD

Individual provider Surgery Physician · NPI 1972802791

Dr. Lisa M. Kodadek, MD is a General Surgery in New Haven, Connecticut. Graduated from Medical College of Wisconsin in 2011, 15 years ago. Practices with Yale University, a 2,618-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
15
Trained at
Medical College of Wisconsin
Licensed in
CT
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 65084 (CT)
Surgery Physician Taxonomy 208600000X · Licence 65084 (CT)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 65084 (CT)

Record details

NPI number1972802791
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2011
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2011 (15 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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