VAMSI KIRAN KODUMURI NPI 1003009358

Internal Medicine (Interventional Cardiology) in Mount Pleasant, WI

NPI 1003009358 Individual Male Years of Experience 19 Internal Medicine Interventional Cardiology PECOS Enrolled Accepts Medicare Approved Payment

About VAMSI KODUMURI

Vamsi Kodumuri is an internal medicine provider established in Mount Pleasant, Wisconsin and his medical specialization is internal medicine (interventional cardiology) with more than 19 years of experience. The NPI number of Vamsi Kodumuri is 1003009358 and was assigned on August 2007. The practitioner's primary taxonomy code is 207RI0011X with license number 70364 (WI). The provider is registered as an individual and his NPI record was last updated 3 years ago.

An internist like Vamsi Kiran Kodumuri is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Vamsi Kodumuri is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Vamsi Kodumuri is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Ascension All Saints Hospital.

NPI

1003009358

Provider Name VAMSI KIRAN KODUMURI
Provider Location Address3803 SPRING ST STE 410 MOUNT PLEASANT, WI 53405
Provider Mailing Address3803 SPRING ST STE 410 MOUNT PLEASANT, WI 53405
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-21-2007
Last Update Date01-25-2019


Primary Taxonomy

Taxonomy Code207RI0011X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationInterventional Cardiology
License No.70364
License StateWI
Taxonomy DescriptionAn area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Business Address

VAMSI KIRAN KODUMURI
3803 SPRING ST STE 410
MOUNT PLEASANT, WI
ZIP 53405
Phone: (262) 687-8260
Fax: (262) 687-8729

Get Directions


Mailing Address

VAMSI KIRAN KODUMURI
3803 SPRING ST STE 410
MOUNT PLEASANT, WI
ZIP 53405
Phone: (262) 687-8260
Fax: (262) 687-8729



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8224103064
PECOS Enrollment IDI20190219000842
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 44Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 14Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Vamsi Kodumuri is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ASCENSION ALL SAINTS HOSPITAL3801 SPRING ST
RACINE, WI 53405
(262) 687-4011Acute Care Hospitals520096

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine125050331ILNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578584272 KAREN MURILLO NP
Individual
Nurse Practitioner3803 SPRING ST STE 410
RACINE, WI 53405
(262) 687-8260
1548235856 BERNARD B LIM MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)3803 SPRING ST STE 410
MOUNT PLEASANT, WI 53405
(262) 687-8260
1265901664 MELISSA K MAYER APNP
Individual
Nurse Practitioner (Family)3803 SPRING ST STE 410
MOUNT PLEASANT, WI 53405
(262) 687-6094
1235641804 ELIZABETH MYUNGHEE RALSTON APN
Individual
Nurse Practitioner (Family)3803 SPRING ST STE 410
MOUNT PLEASANT, WI 53405
(262) 687-8260
1124695457MRS. JESSICA LYNN SCHMID
Individual
Nurse Practitioner (Family)3803 SPRING ST STE 410
MOUNT PLEASANT, WI 53405
(262) 687-4011

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.