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PADMAVATHI KODURI M.D.
NPI 1669567061
Internal Medicine in Dallas, TX

Active since October 03, 2006PECOS Enrolled
12221 MERIT DR, SUITE 1610, DALLAS, TX 75251(214) 217-1911(214) 217-1912 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Padmavathi Koduri M.d. NPPES

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

PADMAVATHI KODURI M.D. (NPI 1669567061) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (L5011) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669567061
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePADMAVATHI KODURICredential: M.D.
Location Address12221 MERIT DR, SUITE 1610Dallas, TX 75251
Mailing Address12221 Merit Dr, Suite 1610Dallas, TX 75251 · (214) 217-1911 · Fax (214) 217-1912
Phone(214) 217-1911
Fax(214) 217-1912
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669567061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L5011
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12221 MERIT DR, Dallas, TX 75251
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Padmavathi Koduri M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Padmavathi Koduri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthtexas Provider Network
4.4 mi
Family Medicine
5926 W NORTHWEST HWY
Dallas, TX 75225
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1962153940 (888) 663-6331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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
3 suppliers29 claims29 services$16.67 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
3 suppliers29 claims29 services$83.75 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 20

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

RUTH OSEI FORDJOUR M.D.
Pediatrics
12221 MERIT DR, SUITE 1500
DALLAS, TX 75251
Dallas County (214) 957-4754
MATTHEW TICE MD
Emergency Medicine
12221 MERIT DR, SUITE 1500
DALLAS, TX 75251
Dallas County (214) 217-1911
MICHAEL D HARRIS PA
Physician Assistant
12221 MERIT DR, STE. 1610
DALLAS, TX 75251
Dallas County (214) 217-1911
DR. DAVID WOODKOTCH M.D.
Emergency Medicine
12221 MERIT DR, #1500
DALLAS, TX 75251
Dallas County (214) 217-1911
MR. PAUL J CLAIR PA
Physician Assistant
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Dallas County (214) 217-1911
ANNA KRISTINA YARBROUGH PA-C
Physician Assistant
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Dallas County (972) 372-0912
DR. ASMA MOHAMED ASHRAF M.D.
Internal Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Dallas County (214) 217-1920
BRYAN C THIBODEAU MD
Emergency Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Dallas County (214) 217-1912

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 Padmavathi Koduri's NPI number?

The NPI number for Padmavathi Koduri is 1669567061. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Padmavathi Koduri located?

Padmavathi Koduri practices at 12221 Merit Dr Suite 1610, Dallas, TX 75251. The listed phone number is (214) 217-1911.

What is Padmavathi Koduri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Padmavathi Koduri enrolled in Medicare?

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

Which organization bills Medicare for Padmavathi Koduri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Padmavathi Koduri reassigns Medicare benefits to Healthtexas Provider Network (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Padmavathi Koduri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Padmavathi 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.