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SUNEETHA KODURU MD
NPI 1891885968
Family Medicine in Shreveport, LA

Active since October 13, 2006PECOS Enrolled
510 E STONER AVE, SHREVEPORT, LA 71101(183) 792-9860(318) 841-6044 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Suneetha Koduru Md NPPES

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

SUNEETHA KODURU MD (NPI 1891885968) is an individual family medicine provider in Shreveport, Louisiana, licensed in Louisiana (200884) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891885968
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUNEETHA KODURUCredential: MD
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing Address510 E Stoner AveShreveport, LA 71101-4243
Phone(183) 792-9860
Fax(318) 841-6044
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1891885968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 200884
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.
510 E STONER AVE, Shreveport, LA 71101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, HMO Louisiana.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)

Suneetha Koduru Md 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 71101 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 20

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

IGNATIUS NNADIOTU
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. DARLENE ROQUE COOK
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 990-5228
NANCY DUGGAN RN
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MICHAEL SCHROEDER
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
KARL REICHTER LICSW
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (319) 990-4401
SANJAY JAIN
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. SRINIVAS POTTURI M.D.,
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MRS. KELLY ANN WALLS LPN
Licensed Practical Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411

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 Suneetha Koduru's NPI number?

The NPI number for Suneetha Koduru is 1891885968. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Suneetha Koduru located?

Suneetha Koduru practices at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (183) 792-9860.

What is Suneetha Koduru's specialty?

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

Is Suneetha Koduru enrolled in Medicare?

Yes. Suneetha Koduru is registered in the Medicare PECOS enrollment system.

What insurance does Suneetha Koduru accept?

Health plans from Blue Cross and Blue Shield of Texas and HMO Louisiana list Suneetha Koduru 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 Suneetha Koduru was last updated on April 18, 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.