1. Home
  2. Directory
  3. New Jersey
  4. Newark
  5. Hospitalist
  6. NPI Profile

DR. SOBHA R. KODURU M.D.
NPI 1114232428
Hospitalist in Newark, NJ

Active since August 11, 2010PECOS EnrolledAccepts Medicare Assignment
150 BERGEN ST # UHH-245, NEWARK, NJ 07103(973) 972-5672(973) 972-0365 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2022, Jan 5, 2017 (2 updates tracked since 2017).

About Dr. Sobha R. Koduru M.d. NPPES

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

DR. SOBHA R. KODURU M.D. (NPI 1114232428) is an individual hospitalist provider in Newark, New Jersey, licensed in Arizona (48189) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1114232428
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. SOBHA R. KODURUCredential: M.D.
Location Address150 BERGEN ST # UHH-245Newark, NJ 07103
Mailing Address30 Bergen Street, Building 12 Room 1205Newark, NJ 07107-3000 · (973) 972-0037 · Fax (973) 972-0743
Phone(973) 972-5672
Fax(973) 972-0365
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 11, 2010
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1114232428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AZ · 48189
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 48189 (AZ)
150 BERGEN ST # UHH-245, Newark, NJ 07103
Open in Google Maps ↗

Other Identifiers 2

Medicaid0595403NJ
Medicaid845863AZ

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

Dr. Sobha R. 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 ID3870728637
PECOS Enrollment IDI20180110003308
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.

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.
18 services13 patients

Hospital Affiliations CMS Care Compare

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 2

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

MANINDERPAL KAUR M.D.
Internal Medicine
150 BERGEN ST # UHH-245
NEWARK, NJ 07103
Essex County (973) 972-5672
HTAY HTAY KYI MD
Internal Medicine
150 BERGEN ST # UHH-245
NEWARK, NJ 07103
Essex County (973) 972-5672

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 Sobha Koduru's NPI number?

The NPI number for Sobha Koduru is 1114232428. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Where is Sobha Koduru located?

Sobha Koduru practices at 150 Bergen St # Uhh-245, Newark, NJ 07103. The listed phone number is (973) 972-5672.

What is Sobha Koduru's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sobha Koduru enrolled in Medicare?

Yes. Sobha 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 Sobha Koduru affiliated with any hospitals?

According to CMS data, Sobha Koduru is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Sobha Koduru was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.