SUDHA KODURU M.D.
NPI 1073772455
Internal Medicine in Petersburg, VA

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment
56.06/100
CMS Quality Rating
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805(804) 765-5991 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sudha Koduru M.d. NPPES

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

SUDHA KODURU M.D. (NPI 1073772455) is an individual internal medicine provider in Petersburg, Virginia, licensed in Virginia (01012500380) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1073772455
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUDHA KODURUCredential: M.D.
Location Address200 MEDICAL PARK BLVDPetersburg, VA 23805-9274
Mailing Address200 Medical Park BlvdPetersburg, VA 23805-9274 · (804) 765-5991
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 2, 2008
Last NPPES UpdateApril 6, 2015
NPI 1073772455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 01012500380
Definition

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.

200 MEDICAL PARK BLVD, Petersburg, VA 23805

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

Sudha Koduru M.d. 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 ID5991978900
PECOS Enrollment IDI20111107000500
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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
255 services254 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
120 services116 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
69 services54 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23805 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
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.

56.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality26.71
Improvement Activities40
Cost76.15

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
82%265 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospitalist
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Hospitalist
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Nurse Practitioner (Adult Health)
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Emergency Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Family Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Pathology (Anatomic Pathology & Clinical Pathology)
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Pathology (Anatomic Pathology & Clinical Pathology)
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805

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 Sudha Koduru's NPI number?

The NPI number for Sudha Koduru is 1073772455. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Sudha Koduru located?

Sudha Koduru practices at 200 Medical Park Blvd, Petersburg, VA 23805. The listed phone number is (804) 765-5991.

What is Sudha Koduru's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sudha Koduru enrolled in Medicare?

Yes. Sudha Koduru 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.

Is Sudha Koduru affiliated with any hospitals?

According to CMS data, Sudha Koduru is affiliated with Centra Health - Lynchburg Gen Hospital and Bon Secours St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Sudha Koduru was last updated on April 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.