DR. BANERJE KODURU M.D.
NPI 1285644104
Psychiatry & Neurology - Psychiatry in Hopewell, VA

Q: What is Banerje Koduru's NPI number?

The NPI number for Banerje Koduru is 1285644104. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Banerje Koduru's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Banerje Koduru was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 09, 2006PECOS Enrolled

207 N 4TH AVE, HOPEWELL, VA 23860(804) 541-0918(804) 541-7924 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Banerje Koduru M.d. NPPES

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

DR. BANERJE KODURU M.D. (NPI 1285644104) is an individual psychiatry provider in Hopewell, Virginia, licensed in Virginia (01010300086) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1285644104

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. BANERJE KODURUCredential: M.D.

Location Address207 N 4TH AVEHopewell, VA 23860-2503

Mailing Address207 N 4th AveHopewell, VA 23860-2503 · (804) 541-0918 · Fax (804) 541-7924

Phone(804) 541-0918

Fax(804) 541-7924

Sole ProprietorNo

Medical School CMSOtherGraduated 1973

Enumeration DateAugust 9, 2006

Last NPPES UpdateSeptember 10, 2013

✔ NPI 1285644104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in VA · 01010300086

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

207 N 4TH AVE, Hopewell, VA 23860

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Other Identifiers 2

Medicare ID-Type Unspecified260000869VA

Medicaid007140436VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Banerje Koduru M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375547201

PECOS Enrollment IDI20060908000087

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23860 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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Other Providers at the Same Location NPPES 14

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

PRAKASH BHUSHAN KARN MD

Psychiatry & Neurology (Psychiatry)