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

Dr. Padmaja Kodali, MD

Individual provider Nephrology Physician · NPI 1790747764

Dr. Padmaja Kodali, MD is an Internal Medicine in Maplewood, New Jersey. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
34
Licensed in
NJ
In the registry since
2006
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

2040 Millburn Ave Ste 403
Maplewood, NJ 07040-3726
Phone: (973) 763-1100
Fax: (973) 763-1122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 25MA06878300 (NJ)

Record details

NPI number1790747764
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2006
Last updated in NPPESDecember 17, 2012
Mailing address2040 Millburn Ave, Suite 403, Maplewood, NJ 07040-3726

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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