Dr Sumana Koduri, MD is a medicare enrolled "Urology - Female Pelvic Medicine And Reconstructive Surgery" physician in Brookfield, Wisconsin. She went to Northwestern University Feinberg Medical School and graduated in 1994 and has 30 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Saak, Sc and her current practice location is
18200 W Capitol Dr Ste 200, Brookfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 444-5148.
Dr Sumana Koduri is licensed to practice in Wisconsin (license number 36975) 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 1942252762.
Physician's Profile
Full Name | Dr Sumana Koduri |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 30 Years |
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Location | 18200 W Capitol Dr Ste 200, Brookfield, Wisconsin |
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Accepts Medicare Assignments | Yes. 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 Sumana Koduri attended and graduated from Northwestern University Feinberg Medical School in 1994
NPI Data:
- NPI Number: 1942252762
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618879347
- Enrollment ID: I20040123000209
Medical Identifiers
Medical identifiers for Dr Sumana Koduri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942252762 | NPI | - | NPPES |
1942252762 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2088F0040X | Urology - Female Pelvic Medicine And Reconstructive Surgery | 36975 (Wisconsin) | Primary |
207V00000X | Obstetrics & Gynecology | 36975 (Wisconsin) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Saak, Sc | 0244686137 | 3 |
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 Sumana Koduri allows following entities to bill medicare on her behalf.
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
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Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
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Entity Name | Saak, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518744986 PECOS PAC ID: 0244686137 Enrollment ID: O20231030001049 |
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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 Sumana Koduri 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 Sumana Koduri, MD 18200 W Capitol Dr Ste 200, Brookfield, WI 53045-1446 Ph: (262) 444-5148 | Dr Sumana Koduri, MD 18200 W Capitol Dr Ste 200, Brookfield, WI 53045-1446 Ph: (262) 444-5148 |
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