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VIJI KODUVATH
NPI 1083083364
Nurse Practitioner - Family in Garland, TX

Active since September 17, 2015PECOS EnrolledAccepts Medicare Assignment
1837 N GARLAND AVE, GARLAND, TX 75040(469) 432-4107 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2026, Aug 20, 2019, Jul 16, 2019 (3 updates tracked since 2019).

About Viji Koduvath NPPES

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

VIJI KODUVATH (NPI 1083083364) is an individual family provider in Garland, Texas, licensed in Texas (AP128758) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083083364
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVIJI KODUVATH
Location Address1837 N GARLAND AVEGarland, TX 75040-4561
Mailing Address1837 N Garland AveGarland, TX 75040-4561 · (469) 432-4107
Phone(469) 432-4107
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 17, 2015
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1083083364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP128758
1837 N GARLAND AVE, Garland, TX 75040
Open in Google Maps ↗

Other Identifiers 1

Medicaid355703501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Viji Koduvath 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 ID8426353889
PECOS Enrollment IDI20160223000402
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75040 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES

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

VIJI PRADEEP KODUVATH PLLC
Family Medicine
1837 N GARLAND AVE
GARLAND, TX 75040
Dallas County (469) 432-4107

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 Viji Koduvath's NPI number?

The NPI number for Viji Koduvath is 1083083364. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Viji Koduvath located?

Viji Koduvath practices at 1837 N Garland Ave, Garland, TX 75040. The listed phone number is (469) 432-4107.

What is Viji Koduvath's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Viji Koduvath enrolled in Medicare?

Yes. Viji Koduvath 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 Viji Koduvath accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Viji Koduvath 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.

When was this NPI record last updated?

The NPPES record for Viji Koduvath was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.