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DR. VIJAYA MADHAVI KODURI MBBS
NPI 1558672253
Pediatrics in Laramie, WY

Active since June 28, 2010PECOS Enrolled
1252 N 22ND ST, LARAMIE, WY 82072(307) 745-3704(307) 745-7237 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 31, 2023, Aug 10, 2023 (2 updates tracked since 2023).

About Dr. Vijaya Madhavi Koduri Mbbs NPPES

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

DR. VIJAYA MADHAVI KODURI MBBS (NPI 1558672253) is an individual pediatrics provider in Laramie, Wyoming, licensed in Wyoming (9303A) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gillette.

NPPES Registry Identity

NPI1558672253
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. VIJAYA MADHAVI KODURICredential: MBBS
Location Address1252 N 22ND STLaramie, WY 82072-5306
Mailing AddressPo Box 3046Gillette, WY 82717-3046 · (307) 688-2600 · Fax (307) 685-3079
Phone(307) 745-3704
Fax(307) 745-7237
Sole ProprietorNo
Enumeration DateJune 28, 2010
Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1558672253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WY · 9303A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1252 N 22ND ST, Laramie, WY 82072
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Other Names 1

Former Name (1)Dr. Vijaya Madhavi Pinnamaneni Mbbs

Secondary Practice Location 1

Location 1501 S. Burma Ave.Gillette, WY 82716-3246 · Phone (307) 688-3636 · Fax (307) 688-3079

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.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. Vijaya Madhavi Koduri Mbbs 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 82072 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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 5

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

KENT KLEPPINGER M.D.
Pediatrics (Adolescent Medicine)
1252 N 22ND ST, SUITE B
LARAMIE, WY 82072
Albany County (307) 745-3704
DR. BYRON WINDSOR KILLPACK D.D.S.
Dentist (General Practice)
1252 N 22ND ST, SUITE A
LARAMIE, WY 82072
Albany County (307) 755-0444
MRS. HOLLY ANN HINK II APN
Nurse Practitioner (Pediatrics)
1252 N 22ND ST
LARAMIE, WY 82072
Albany County (307) 745-3704
MELINDA MOSSMAN FNP-C
Nurse Practitioner (Family)
1252 N 22ND ST, SUITE A
LARAMIE, WY 82072
Albany County (307) 745-3704
MARCIA NEWELL F.N.P.
Nurse Practitioner (Family)
1252 N 22ND ST, SUITE B
LARAMIE, WY 82072
Albany County (307) 745-3704

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 Vijaya Koduri's NPI number?

The NPI number for Vijaya Koduri is 1558672253. It was assigned to this individual provider in the NPPES registry on June 28, 2010. The provider is also known as Dr. Vijaya Madhavi Pinnamaneni Mbbs.

Where is Vijaya Koduri located?

Vijaya Koduri practices at 1252 N 22nd St, Laramie, WY 82072. The listed phone number is (307) 745-3704.

What is Vijaya Koduri's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Vijaya Koduri enrolled in Medicare?

Yes. Vijaya Koduri is registered in the Medicare PECOS enrollment system.

What insurance does Vijaya Koduri accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Vijaya Koduri 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 Vijaya Koduri was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.