DR. PRASHANTHI BORA KODURI M.D.
NPI 1891744603
Family Medicine in Suffolk, VA

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
3920 BRIDGE RD, BLDG A, STE. 207, SUFFOLK, VA 23435(757) 983-2200(757) 923-2201 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Prashanthi Bora Koduri M.d. NPPES

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

DR. PRASHANTHI BORA KODURI M.D. (NPI 1891744603) is an individual family medicine provider in Suffolk, Virginia, licensed in Virginia (101229036) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1891744603
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PRASHANTHI BORA KODURICredential: M.D.
Location Address3920 BRIDGE RD, BLDG A, STE. 207Suffolk, VA 23435-1117
Mailing Address3920 Bridge Rd, Bldg A, Ste. 207Suffolk, VA 23435-1117 · (757) 983-2200 · Fax (757) 923-2201
Fax(757) 923-2201
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 9, 2006
Last NPPES UpdateDecember 6, 2019
NPI 1891744603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 101229036
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3920 BRIDGE RD, Suffolk, VA 23435

Other Identifiers 1

Medicaid10048061VA

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

Dr. Prashanthi Bora Koduri M.d. 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 ID7911905468
PECOS Enrollment IDI20061117000359
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 3

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, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
328 services171 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
123 services123 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
61 services56 patients

Hospital Affiliations CMS Care Compare 3

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

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23435 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims29 services$6.59 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 5

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

Family Medicine
3920 BRIDGE RD, BLDG. A, STE. 207
SUFFOLK, VA 23435
Family Medicine
3920 BRIDGE RD, BLDG A STE 207
SUFFOLK, VA 23435
Surgery (Vascular Surgery)
3920 BRIDGE RD, STE 202
SUFFOLK, VA 23435
Physician Assistant
3920 BRIDGE RD
SUFFOLK, VA 23435
Physical Therapist
3920 BRIDGE RD
SUFFOLK, VA 23435

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 Prashanthi Koduri's NPI number?

The NPI number for Prashanthi Koduri is 1891744603. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Prashanthi Koduri located?

Prashanthi Koduri practices at 3920 Bridge Rd Bldg A, Ste. 207, Suffolk, VA 23435. The listed phone number is (757) 983-2200.

What is Prashanthi Koduri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prashanthi Koduri enrolled in Medicare?

Yes. Prashanthi 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.

Is Prashanthi Koduri affiliated with any hospitals?

According to CMS data, Prashanthi Koduri is affiliated with Bon Secours Maryview Medical Center, Sentara Obici Hospital and Sentara Leigh Hospital.

When was this NPI record last updated?

The NPPES record for Prashanthi Koduri was last updated on December 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.