Dheeraj Kodali, MD - Medicare Hematology/oncology in Stockton, CA

Dheeraj Kodali, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Stockton, California. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Stockton Hematology Oncology Medical Group Inc and his current practice location is 2626 N California St Ste B, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 466-2626.

Dheeraj Kodali is licensed to practice in California (license number A172284) 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 1508179607.

Contact Information

Dheeraj Kodali, MD
2626 N California St Ste B,
Stockton, CA 95204-5500
(209) 466-2626
(209) 466-7153

Map and Direction




Physician's Profile

Full NameDheeraj Kodali
GenderMale
SpecialityHematology/oncology
Experience15 Years
Location2626 N California St Ste B, Stockton, California
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:
  • Dheeraj Kodali graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1508179607
  • Provider Enumeration Date: 07/17/2010
  • Last Update Date: 08/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5991955023
  • Enrollment ID: I20210804001752

Medical Identifiers

Medical identifiers for Dheeraj Kodali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508179607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 26214 (West Virginia)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 26214 (West Virginia)Secondary
207RH0003XInternal Medicine - Hematology & Oncology A172284 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mark Twain Medical CenterSan andreas, CAHospital
Sutter Tracy Community HospitalTracy, CAHospital
St Joseph's Medical Center Of StocktonStockton, CAHospital
Doctors Hospital Of MantecaManteca, CAHospital
Sutter Amador HospitalJackson, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stockton Hematology Oncology Medical Group Inc14563698008

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. Dheeraj Kodali allows following entities to bill medicare on his behalf.
Entity NameStockton Hematology Oncology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922175074
PECOS PAC ID: 1456369800
Enrollment ID: O20060328000211
Entity NameMark Twain Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508968819
PECOS PAC ID: 8820073711
Enrollment ID: O20061006000227

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. Dheeraj Kodali 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
Dheeraj Kodali, MD
2626 N California St Ste B,
Stockton, CA 95204-5500

Ph: (209) 466-2626
Dheeraj Kodali, MD
2626 N California St Ste B,
Stockton, CA 95204-5500

Ph: (209) 466-2626

Reviews and Comments


Internal Medicine Doctors in Stockton, CA

Jasmine Hundal,
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David C Lim, M.D.
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Phone: 800-249-9497    Fax: 800-249-9497
Dr. Ronald A Kass, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1801 E March Ln Ste C310, Stockton, CA 95210
Phone: 209-465-5731    Fax: 209-465-0230

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).

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