Chandra Kumar Mallic Kodavanti, MD
NPI 1093236580ActiveIndividual· Internal Medicine, Critical Care Medicine· Dothan, AL
Internal Medicine, Critical Care Medicine (MD) with Houston County Healthcare Authority, practicing in Dothan, Alabama. Medicare paid $100,311 for services to 140 patients in 2024. Lists Southeast Health Medical Center as a hospital affiliation.
Overview
| NPI | 1093236580 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 5, 2017 |
| Last updated in NPPES | Jul 25, 2023 |
| Certified by provider | Jul 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Critical Care Medicine Primary | 207RC0200X | MD.46417 | AL |
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2020-0463 | NM |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10060414 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Critical Care (Intensivists) (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 140 |
|---|---|
| Services billed | 811 across 10 procedure codes |
| Paid by Medicare | $100,311 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Critical Care (Intensivists) |
Medical group
- Houston County Healthcare AuthorityDothan, AL · 253 clinicians
Hospital affiliation
- Southeast Health Medical CenterDothan, AL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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