Dr Sobha R Koduru, MD in Newark, NJ

Dr Sobha R Koduru, MD is a medicare enrolled "Hospitalist" physician in Newark, New Jersey. Her current practice location is 150 Bergen St # Uhh-245, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 972-5672.

Dr Sobha R Koduru is licensed to practice in Arizona (license number 48189) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114232428.

Contact Information

	Dr Sobha R Koduru, MD
	150 Bergen St # Uhh-245, Newark, NJ 07103
	(973) 972-5672
	(973) 972-0365

Map and Direction

Physician's Profile

Full Name	Dr Sobha R Koduru
Gender	Female
Speciality	Hospitalist
Location	150 Bergen St # Uhh-245, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114232428
Provider Enumeration Date: 08/11/2010
Last Update Date: 02/22/2022

Medicare PECOS Information:

PECOS PAC ID: 3870728637
Enrollment ID: I20180110003308

Medical Identifiers

Medical identifiers for Dr Sobha R Koduru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114232428	NPI	-	NPPES
845863	Medicaid	AZ
0595403	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	48189 (Arizona)	Secondary
208M00000X	Hospitalist	48189 (Arizona)	Primary

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 Sobha R Koduru allows following entities to bill medicare on her behalf.

Entity Name	Ipc Hospitalist Physicians Of New Jersey Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639303159 PECOS PAC ID: 2769533165 Enrollment ID: O20090625000023

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 Sobha R 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 Address	Practice Location Address
Dr Sobha R Koduru, MD 30 Bergen Street, Building 12 Room 1205, Newark, NJ 07107-3000 Ph: (973) 972-0037	Dr Sobha R Koduru, MD 150 Bergen St # Uhh-245, Newark, NJ 07103 Ph: (973) 972-5672

Reviews and Comments

Hospitalist Doctors in Newark, NJ

Janaki Jitendrabhai Makadia, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-2164
Vivek K. Vadehra, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 30 Bergen St, Admc 12 1205, Newark, NJ 07107 Phone: 973-972-0037 Fax: 973-972-9355
Dr. Kanik Pradeep Kathuria, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7425 Fax: 973-926-6130
Dr. Dhvani Doshi, M.D., M.P.H. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen St Rm H245, Newark, NJ 07103 Phone: 973-972-5672
Chidi David Okoroafor, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 800-843-2384

Dr Sobha R Koduru, MD - Medicare Hospitalist in Newark, NJ