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VIJAY KODUMUDI MD, MBA, MPH
NPI 1285374876
Dermatology in Los Angeles, CA

Active since March 31, 2022PECOS Enrolled
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027(833) 574-2273 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2026, Jul 3, 2024, Jun 19, 2023 (3 updates tracked since 2023).

About Vijay Kodumudi Md, Mba, Mph NPPES

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

VIJAY KODUMUDI MD, MBA, MPH (NPI 1285374876) is an individual dermatology provider in Los Angeles, California, licensed in Massachusetts (3013516) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285374876
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameVIJAY KODUMUDICredential: MD, MBA, MPH
Location Address4733 W SUNSET BLVD FL 3Los Angeles, CA 90027-6093
Mailing Address4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6093 · (833) 574-2273
Phone(833) 574-2273
Sole ProprietorNo
Enumeration DateMarch 31, 2022
Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1285374876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 3013516
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vijay Kodumudi Md, Mba, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

GABRIELLE BROWN M.D.
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. ERIC RAY WONG DO
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
SHAINA GANJIAN MD
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
JAMES ZHOU
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (916) 686-7300
DR. BANSARI ASHOKBHAI PATEL DO
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (833) 574-2273
ISABEL OJEDA
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. HONG THI THANH DANG M.D.
Internal Medicine (Nephrology)
4733 W SUNSET BLVD FL 3, KAISER PERMANENTE SOUTHERN CALIFORNIA
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. KRISTOPHER ROBERT WARING MD
Obstetrics & Gynecology (Obstetrics)
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1430

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 Vijay Kodumudi's NPI number?

The NPI number for Vijay Kodumudi is 1285374876. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Vijay Kodumudi located?

Vijay Kodumudi practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (833) 574-2273.

What is Vijay Kodumudi's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Vijay Kodumudi enrolled in Medicare?

Yes. Vijay Kodumudi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vijay Kodumudi was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.