VIJAY KODURI MD
NPI 1659421279
Emergency Medicine in Cleveland, TX

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
300 E CROCKETT ST, CLEVELAND, TX 77327(800) 893-9698(337) 371-4656 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vijay Koduri Md NPPES

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

VIJAY KODURI MD (NPI 1659421279) is an individual emergency medicine provider in Cleveland, Texas, licensed in Texas (K1856) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Duncan Regional Hospital, Inc, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1659421279
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameVIJAY KODURICredential: MD
Location Address300 E CROCKETT STCleveland, TX 77327-4029
Mailing Address200 Corporate Blvd, Suite 201Lafayette, LA 70508-3870
Fax(337) 371-4656
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1659421279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · K1856
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
300 E CROCKETT ST, Cleveland, TX 77327

Other Identifiers 1

Medicare UPINF05004TX

Accepted 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

Vijay Koduri Md 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 ID7517957848
PECOS Enrollment IDI20220817001671
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 8

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
512 services227 patients
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.
376 services156 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
190 services175 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
165 services160 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
129 services125 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
115 services113 patients

Hospital Affiliations CMS Care Compare 2

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

Duncan Regional Hospital, Inc

Acute Care Hospitals · Duncan, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370023
Location2621 Whisenant DrDuncan, OK 73533 · Stephens County
Emergency services Birthing friendly

Jefferson County Hospital

Critical Access Hospitals · Waurika, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371311
LocationIntersection Hyws 81 & 70Waurika, OK 73573 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77327 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%154 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers28 claims28 services$19.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers29 claims29 services$107.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Emergency Medicine
300 E CROCKETT ST, EMERGENCY ROOM
CLEVELAND, TX 77327
Nurse Practitioner (Family)
300 E CROCKETT ST
CLEVELAND, TX 77327
Anesthesiology
300 E CROCKETT ST
CLEVELAND, TX 77327
Registered Nurse (Registered Nurse First Assistant)
300 E CROCKETT ST
CLEVELAND, TX 77327
Emergency Medicine
300 E CROCKETT ST
CLEVELAND, TX 77327
Anesthesiology
300 E CROCKETT ST
CLEVELAND, TX 77327
General Acute Care Hospital (Rural)
300 E CROCKETT ST
CLEVELAND, TX 77327
Orthopaedic Surgery
300 E CROCKETT ST
CLEVELAND, TX 77327

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 Koduri's NPI number?

The NPI number for Vijay Koduri is 1659421279. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Vijay Koduri located?

Vijay Koduri practices at 300 E Crockett St, Cleveland, TX 77327. The listed phone number is (800) 893-9698.

What is Vijay Koduri's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Vijay Koduri enrolled in Medicare?

Yes. Vijay Koduri 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 Vijay Koduri accept?

Health plans from Blue Cross and Blue Shield of Texas list Vijay 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.

Is Vijay Koduri affiliated with any hospitals?

According to CMS data, Vijay Koduri is affiliated with Duncan Regional Hospital, Inc and Jefferson County Hospital.

When was this NPI record last updated?

The NPPES record for Vijay Koduri was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.