Doctor profile · Federal record
Dr. Chandra Kumar Mallic Kodavanti, MD
Critical Care Medicine (Internal Medicine) Physician (CMS: Critical Care (Intensivists)) · Student in an Organized Health Care Education/Training Program · Student in an Organized Health Care Education/Training Program · Dothan, AL
- NPI 1093236580
- Accepts Medicare
- MIPS 93.3 / 100 · 2023
- 15 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1108 Ross Clark Cir
Dothan, AL 363013022
(334) 703-8836
fax (334) 712-3512 - Additional location
-
MSC 10-5550 1 University of New Mexico
Albuquerque, NM 871310001
(505) 272-4751
fax (505) 272-8700 - Additional location
-
701 W 5Th St
Odessa, TX 797634206
(432) 703-5375 - Mailing address
-
Po Box 1928
Dothan, AL 363021928
Credentials & registration
- NPI registered
- July 2017 — 9 yrs on file
- Profile last updated
- July 25, 2023
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207RC0200X — NUCC code
- State licenses (3)
- Alabama #MD.46417 · New Mexico #RS2020-0463 · Texas #BP10060414
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093236580. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
204
Distinct HCPCS
1
Medicare allowed
$41,054
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 204 | 47 | $201 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 155. This provider delivers 1.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
12
Patients
0
Total drug cost
$306
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Chlorthalidone | Generic | 12 | 0 | $306 |
Hospital affiliations
Frequently asked questions
What is Dr. Chandra Kumar Mallic Kodavanti's medical specialty?
Dr. Chandra Kumar Mallic Kodavanti practices Critical Care Medicine (Internal Medicine) Physician in Dothan, AL.
Where does Dr. Chandra Kumar Mallic Kodavanti practice?
Dr. Chandra Kumar Mallic Kodavanti practices at 1108 Ross Clark Cir, Dothan, AL 363013022. Office phone: 3347038836.
What is Dr. Chandra Kumar Mallic Kodavanti's NPI?
Dr. Chandra Kumar Mallic Kodavanti's National Provider Identifier (NPI) is 1093236580, issued by NPPES.
Does Dr. Chandra Kumar Mallic Kodavanti accept Medicare assignment?
Yes. Dr. Chandra Kumar Mallic Kodavanti accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Chandra Kumar Mallic Kodavanti commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.