Dr Pramoda Koduru, MD - Medicare Gastroenterology in Chicago, IL

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Dr Pramoda Koduru, MD is a medicare enrolled "Internal Medicine" physician in Chicago, Illinois. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Digestive Disease Specialists Inc, Chickasaw Nation Division Of Health Chickasaw Nation Medical Center and her current practice location is 1901 W Harrison St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 864-6000.

Dr Pramoda Koduru is licensed to practice in Illinois (license number 125059708) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992090542.

Contact Information

Dr Pramoda Koduru, MD
1901 W Harrison St,
Chicago, IL 60612-3714
(312) 864-6000
Not Available

Map and Direction




Physician's Profile

Full NameDr Pramoda Koduru
GenderFemale
SpecialityGastroenterology
Experience18 Years
Location1901 W Harrison St, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Pramoda Koduru graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1992090542
  • Provider Enumeration Date: 06/12/2011
  • Last Update Date: 06/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6800142993
  • Enrollment ID: I20180703000545

Medical Identifiers

Medical identifiers for Dr Pramoda Koduru such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992090542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 125059708 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Integris Health EdmondEdmond, OKHospital
Chickasaw Nation Medical CenterAda, OKHospital
Alliancehealth MidwestMidwest city, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Digestive Disease Specialists Inc731593927948
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center8426957523219

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. Dr Pramoda Koduru allows following entities to bill medicare on her behalf.
Entity NameDigestive Disease Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366489213
PECOS PAC ID: 7315939279
Enrollment ID: O20040331001151
Entity NameIntegris Ambulatory Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20041209000354
Entity NameHealthfirst Physicians Management Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891962460
PECOS PAC ID: 4183674500
Enrollment ID: O20081113000308
Entity NameIntegris Ddsi Endoscopy Centers Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497347934
PECOS PAC ID: 3072928266
Enrollment ID: O20210222001178

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. Dr Pramoda Koduru 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
Dr Pramoda Koduru, MD
1901 W Harrison St,
Chicago, IL 60612-3714

Ph: (312) 864-6000		Dr Pramoda Koduru, MD
1901 W Harrison St,
Chicago, IL 60612-3714

Ph: (312) 864-6000

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.