SAMANTHA S. KODAMA MD, MPH
NPI 1700346145
Obstetrics & Gynecology - Reproductive Endocrinology in Salt Lake City, UT
NPI Status: Active since March 21, 2019
Contact Information
30 N 1900 E RM 2B200
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2121
- Individual
- Female
- Obstetrics & Gynecology
- Reproductive Endocrinology
- Accepts Insurance
- PECOS Enrolled
About SAMANTHA KODAMA
This page provides the complete NPI Profile along with additional information for Samantha Kodama, a women's health care provider established in Salt Lake City, Utah with a medical specialization in Obstetrics & Gynecology, focusing in reproductive endocrinology . The healthcare provider is registered in the NPI registry with number 1700346145 assigned on March 2019. The practitioner's primary taxonomy code is 207VE0102X with license number 13312645-1205 (UT). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1700346145
- Provider Name
- SAMANTHA S. KODAMA MD, MPH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132
- Location Phone
- (801) 581-2121
- Mailing Address
- 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132
- Mailing Phone
- (801) 581-2121
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-21-2019
- Last Update Date
- 09-01-2023
- Code Navigator
Women's health care providers like Samantha Kodama treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Secondary Locations
- 110 Irving St NW Dept Of
Washington, DC 20010
(202) 877-8035
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Reproductive Endocrinology
- Taxonomy Code
- 207VE0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 13312645-1205
- License State
- UT
- Taxonomy Description
- An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 1500 - EPO
- Regence Standard Silver 5000 - EPO
- SaveWell Standard Bronze 7500 - EPO
- SaveWell Standard Gold 1500 - EPO
- SaveWell Standard Silver 5000 - EPO
- Silver 5000 - EPO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
- U Health Plus Bronze - EPO
- U Health Plus Expanded Bronze Standard - EPO
- U Health Plus Gold - EPO
- U Health Plus Gold Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Samantha Kodama is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 84132 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $125.7
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.03
- Average New Patient Copayment $31.42
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.35
- Minimum Established Patient Price $17.23
- Maximum Established Patient Price $135.2
- Average Established Patient Copayment $24.08
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.8
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for SAMANTHA S. KODAMA MD, MPH
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 3 | 4 | 6 | 1 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 6 | 4 | 12 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 6 + 4 + 1 + 2 + 1 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1700346145 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467628263 | JEANETTE RUTH CARPENTER M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (919) 699-3972 |
| 1003443276 | LILLIAN B. BOETTCHER MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-7647 |
| 1730717232 | SARINA M. POLLAT MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-7647 |
| 1821626219 | ANNA M. MELICHER MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-5501 |
| 1134576937 | SUSAN E. DALTON M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-7647 |
| 1265967442 | ADEBAYO A. ADESOMO MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 213-3716 |
| 1346637709 | MS. IJEOMA N. IKO MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 213-3716 |
| 1720440191 | MEREDITH HUMPHREYS M.D. Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 213-3716 |
| 1063502672 | DR. PEGGY A. NORTON MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-3565 |
| 1942651682 | KIMBERLY MOYLE M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-7647 |
| 1508253436 | LAUREN VERRILLI M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-7647 |
| 1316443419 | KELLIE WOODFIELD MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-5501 |
| 1245816073 | DR. LILLIAN H. GOODMAN MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-5501 |
| 1376048207 | THERESA ROSE KURTZ MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-5501 |
| 1457888349 | DR. ADDISON W. ALLEY MD Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 213-3716 |
| 1467039701 | OLIVIA A. MOUMNE MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-5501 |
| 1467970913 | RUBA A. AKEL MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-5501 |
| 1811490642 | CARLY M. DAHL MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 213-3716 |
| 1619473063 | MICHELANNE SHIELDS MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-5501 |
| 1194285759 | SUSAN E. NOURSE MD Individual | Obstetrics & Gynecology | 30 N 1900 E RM 2B200 SALT LAKE CITY, UT 84132 (801) 581-5501 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700346145, enumerated in the NPI registry as an "individual" on March 21, 2019
The provider is located at 30 N 1900 E Rm 2b200 Salt Lake City, Ut 84132 and the phone number is (801) 581-2121
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207VE0102X with a focus in Reproductive Endocrinology
The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $125.7 with an average copayment of $31.42 for new patient appointments. Established patients should expect a typical charge of $96.35 and an average copayment of 24.08. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 21, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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