DR. KEVIN TAKAO KODAMA M.D. NPI 1750395828

NPI Information

  • NPI: 1750395828
  • Provider Name: DR. KEVIN TAKAO KODAMA, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1187 E HERNDON AVE STE 101
    FRESNO, CA
    ZIP 93720
  • Phone: (559) 440-0450

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NPI Details

DR. Kevin Takao Kodama, M.D. is a gastroenterology internal medicine in Fresno, CA with 33 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Kevin Takao Kodama, M.D. NPI is 1750395828. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

1187 E HERNDON AVE STE 101
FRESNO, CA
ZIP 93720-166
Phone: (559) 440-0450
Fax: (559) 440-0461

The NPI 1750395828 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Measurement of liver stiffness (HCPCS:91200)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Review by radiologist of image from tube placement into bile duct using an endoscope (HCPCS:74328)
  • Dilation of esophagus (HCPCS:43450)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of stone or debris from bile or pancreatic duct using a flexible endoscope (HCPCS:43264)
  • Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43255)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43270)
  • Insertion of stomach tube using a flexible endoscope (HCPCS:43246)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Study of esophagus to assess movement (HCPCS:91010)
  • Destruction of polyp or growth of large bowel using a flexible endoscope (HCPCS:45388)
  • Imaging of digestive tract done from the inside of the digestive tract (HCPCS:91110)
  • Incision of pancreatic outlet using a flexible endoscope (HCPCS:43262)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 7/27/2006 and was last updated on 2/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyG78832CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G788320OTHERBLUE CROSS
200G788320MEDICARE ID-TYPE UNSPECIFIED
3100014017OTHERMEDICARE RAILROAD
400G788320OTHERBLUE SHIELD
5H14159MEDICARE UPIN
600G788320MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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