Vidyasagar Koduri, MD in Boston, MA - Medicare Medical Oncology

Vidyasagar Koduri, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Boston, Massachusetts. He went to Harvard Medical School and graduated in 2009 and has 15 years of diverse experience with area of expertise as Medical Oncology. He is a member of the group practice Dana-farber Cancer Institute, Inc. and his current practice location is 75 Francis St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 796-7170.

Vidyasagar Koduri is licensed to practice in Massachusetts (license number 252864) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043448293.

Contact Information

	Vidyasagar Koduri, MD
	75 Francis St, Boston, MA 02115-6110
	(617) 796-7170
	Not Available

Map and Direction

Physician's Profile

Full Name	Vidyasagar Koduri
Gender	Male
Speciality	Medical Oncology
Experience	15 Years
Location	75 Francis St, Boston, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Vidyasagar Koduri attended and graduated from Harvard Medical School in 2009

NPI Data:

NPI Number: 1043448293
Provider Enumeration Date: 06/26/2009
Last Update Date: 03/06/2023

Medicare PECOS Information:

PECOS PAC ID: 5193954246
Enrollment ID: I20200505002728

Medical Identifiers

Medical identifiers for Vidyasagar Koduri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043448293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RX0202X	Internal Medicine - Medical Oncology	252864 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Brigham And Women's Hospital	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dana-farber Cancer Institute, Inc.	9133038904	521

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. Vidyasagar Koduri allows following entities to bill medicare on his behalf.

Entity Name	Dana-farber Cancer Institute, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346433257 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000142

Entity Name	Dana-farber Cancer Institute, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851333686 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000228

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260

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. Vidyasagar 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
Vidyasagar Koduri, MD 41 Centre St, Apt 204, Brookline, MA 02446-2850 Ph: () -	Vidyasagar Koduri, MD 75 Francis St, Boston, MA 02115-6110 Ph: (617) 796-7170

Reviews and Comments

Internal Medicine Doctors in Boston, MA

Kaitlyn My-tu Lam, MBBS Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-724-7738
Kui Toh Gerard Leong, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit Street, Massachusetts General Hospital, Boston, MA 02114 Phone: 617-726-8862
Ruma Rajbhandari, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-525-6841
Alaka Ray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2066
Meghan E Sise, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2862
Aaron Dickstein, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Washington St, Box 233, Boston, MA 02111 Phone: 617-636-5883 Fax: 617-636-9292
Dr. Felicia Elizabeth Patch, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Massachusetts Ave, Crosstown 2, Boston, MA 02118 Phone: 617-414-4376 Fax: 617-414-4676

Vidyasagar Koduri, MD - Medicare Medical Oncology in Boston, MA