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DR. JYOTSNA KODURI MD
NPI 1679033096
Physical Medicine & Rehabilitation - Pain Medicine in Denver, CO

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
1960 N OGDEN ST STE 400, DENVER, CO 80218(303) 318-1540 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2024, May 19, 2021, Mar 21, 2019 (3 updates tracked since 2019).

About Dr. Jyotsna Koduri Md NPPES

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

DR. JYOTSNA KODURI MD (NPI 1679033096) is an individual pain medicine provider in Denver, Colorado, licensed in California (1679033096) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of University Of Oklahoma College Of Medicine (2019).

NPPES Registry Identity

NPI1679033096
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameDR. JYOTSNA KODURICredential: MD
Location Address1960 N OGDEN ST STE 400Denver, CO 80218-3670
Mailing Address4 E 113th TerKansas City, MO 64114-5448
Phone(303) 318-1540
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateMay 8, 20243 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1679033096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in CA · 1679033096
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1960 N OGDEN ST STE 400, Denver, CO 80218
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jyotsna 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 ID1052641800
PECOS Enrollment IDI20251023004238
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 Jyotsna Koduri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integris Ambulatory Care Corporation
496 mi
Family Medicine
3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,058 clinicians in this Medicare group
NPI 1750333936 (405) 951-2298

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

Areas of Expertise CMS Part B claims 4

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.
159 services85 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.
22 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Integris Canadian Valley Hospital

Acute Care Hospitals · Yukon, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370211
Location1201 Health Center ParkwayYukon, OK 73099 · Canadian County
Emergency services Birthing friendly

Integris Health Edmond Hospital

Acute Care Hospitals · Edmond, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370236
Location4801 Integris ParkwayEdmond, OK 73034 · Oklahoma County
Emergency services Birthing friendly

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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

MADELINE NICOLE NEWSOM
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Denver County (303) 318-1540
CLAIRE MCCRAY ALTANY
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Denver County (303) 318-1540
ERNIE C ARNOUTS
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Denver County (303) 318-1540
DR. NICHOLAS EVERETT WENZ DO
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Denver County (303) 318-1540
EMILY NOVAK
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Denver County (303) 318-1540
DR. CAITLIN TAYLOR PEREZ-STABLE MD
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Denver County (303) 318-1540
HALLE BERG MD
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Denver County (303) 318-1540
MEREDITH EMMARIE STRIGEL DO
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Denver County (303) 318-1540

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 Jyotsna Koduri's NPI number?

The NPI number for Jyotsna Koduri is 1679033096. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Jyotsna Koduri located?

Jyotsna Koduri practices at 1960 N Ogden St Ste 400, Denver, CO 80218. The listed phone number is (303) 318-1540.

What is Jyotsna Koduri's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Jyotsna Koduri enrolled in Medicare?

Yes. Jyotsna 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.

Which organization bills Medicare for Jyotsna Koduri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jyotsna Koduri reassigns Medicare benefits to Integris Ambulatory Care Corporation (Oklahoma City, OK). 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 Jyotsna Koduri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jyotsna Koduri accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and UnitedHealthcare list Jyotsna 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 Jyotsna Koduri affiliated with any hospitals?

According to CMS data, Jyotsna Koduri is affiliated with Integris Baptist Medical Center, Inc, Integris Canadian Valley Hospital and Integris Health Edmond Hospital.

When was this NPI record last updated?

The NPPES record for Jyotsna Koduri was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.