Vijay Koduri, MD is a medicare enrolled "Emergency Medicine" physician in Cleveland, Texas. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Hcc Duncan Inc and his current practice location is
300 E Crockett St, Cleveland, Texas. You can reach out to his office (for appointments etc.) via phone at
(800) 893-9698.
Vijay Koduri is licensed to practice in Texas (license number K1856) 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 1659421279.
Physician's Profile
| Full Name | Vijay Koduri |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 45 Years |
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| Location | 300 E Crockett St, Cleveland, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Vijay Koduri graduated from medical school in 1979
NPI Data:
- NPI Number: 1659421279
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7517957848
- Enrollment ID: I20220817001671
Medical Identifiers
Medical identifiers for Vijay Koduri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659421279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | K1856 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hcc Duncan Inc | 1759447873 | 9 |
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. Vijay Koduri allows following entities to bill medicare on his behalf.
| Entity Name | Northeastern Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457574170
PECOS PAC ID: 1456255025
Enrollment ID: O20031125000250 |
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| Entity Name | Hcc Duncan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013153543
PECOS PAC ID: 1759447873
Enrollment ID: O20090225000497 |
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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. Vijay 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 |
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Vijay Koduri, MD
200 Corporate Blvd, Suite 201,
Lafayette, LA 70508-3870
Ph: () - | Vijay Koduri, MD
300 E Crockett St,
Cleveland, TX 77327-4029
Ph: (800) 893-9698 |
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