KODUVATHARA L JAMES MD
NPI 1063400885
Internal Medicine - Cardiovascular Disease in Louisville, KY

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
225 ABRAHAM FLEXNER WAY, SUITE 305, LOUISVILLE, KY 40202(502) 585-4321(502) 566-6338 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Koduvathara L James Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KODUVATHARA L JAMES MD (NPI 1063400885) is an individual cardiovascular disease provider in Louisville, Kentucky, licensed in Kentucky (23622) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1063400885
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameKODUVATHARA L JAMESCredential: MD
Location Address225 ABRAHAM FLEXNER WAY, SUITE 305Louisville, KY 40202-1882
Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 585-4321 · Fax (502) 566-6338
Fax(502) 566-6338
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateOctober 6, 2005
Last NPPES UpdateApril 2, 2018
NPI 1063400885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in KY · 23622 Licensed in IN · 01033493A
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
225 ABRAHAM FLEXNER WAY, Louisville, KY 40202

Other Identifiers 5

Medicaid64756406KY
Other060026550IN · Railroad Medicare
Medicaid100075640IN
OtherP00141381KY · Railroad Medicare
Other060057271KY · Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Koduvathara L James Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385538073
PECOS Enrollment IDI20050629000533, I20070823000908
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
505 services411 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
376 services374 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
359 services180 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
248 services247 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
195 services194 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
178 services163 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Chi Saint Joseph Health -Flaget Memorial Hospital

Acute Care Hospitals · Bardstown, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180025
Location4305 New Shepherdsville RoadBardstown, KY 40004 · Nelson County
Emergency services Birthing friendly

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
225 ABRAHAM FLEXNER WAY, SUITE 850
LOUISVILLE, KY 40202
Nurse Practitioner
225 ABRAHAM FLEXNER WAY, SUITE 305
LOUISVILLE, KY 40202
Specialist
225 ABRAHAM FLEXNER WAY, SUITE 505
LOUISVILLE, KY 40202
Specialist
225 ABRAHAM FLEXNER WAY, SUITE 501
LOUISVILLE, KY 40202
Internal Medicine (Interventional Cardiology)
225 ABRAHAM FLEXNER WAY, SUITE 305
LOUISVILLE, KY 40202
Surgery (Surgery of the Hand)
225 ABRAHAM FLEXNER WAY, SUITE 850
LOUISVILLE, KY 40202
Occupational Therapist (Hand)
225 ABRAHAM FLEXNER WAY, SUITE 650
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
225 ABRAHAM FLEXNER WAY, OUTPATIENT CARE CENTER - ENDOSCOPY UNIT
LOUISVILLE, KY 40202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koduvathara James's NPI number?

The NPI number for Koduvathara James is 1063400885. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Koduvathara James located?

Koduvathara James practices at 225 Abraham Flexner Way Suite 305, Louisville, KY 40202. The listed phone number is (502) 585-4321.

What is Koduvathara James's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Koduvathara James enrolled in Medicare?

Yes. Koduvathara James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Koduvathara James accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Koduvathara James as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Koduvathara James affiliated with any hospitals?

According to CMS data, Koduvathara James is affiliated with Baptist Health Hardin, Chi Saint Joseph Health -Flaget Memorial Hospital and Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Koduvathara James was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.