Vijay Kodumudi, MD, MBA, MPH is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. His current practice location is
800 Washington St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 636-1359.
Vijay Kodumudi is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285374876.
Physician's Profile
Full Name | Vijay Kodumudi |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 800 Washington St, Boston, Massachusetts |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285374876
- Provider Enumeration Date: 03/31/2022
- Last Update Date: 07/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971988528
- Enrollment ID: I20220916002735
Medical Identifiers
Medical identifiers for Vijay Kodumudi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285374876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 3013516 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Vijay Kodumudi 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 |
Vijay Kodumudi, MD, MBA, MPH 800 Washington St, Boston, MA 02111-1552 Ph: (617) 636-1359 | Vijay Kodumudi, MD, MBA, MPH 800 Washington St, Boston, MA 02111-1552 Ph: (617) 636-1359 |
Reviews and Comments