VAMSI KODURI MD
NPI 1922398049
Internal Medicine - Hematology & Oncology in Chillicothe, OH

Active since April 11, 2011PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4435 STATE ROUTE 159, CHILLICOTHE, OH 45601(740) 672-2025 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vamsi Koduri Md NPPES

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

VAMSI KODURI MD (NPI 1922398049) is an individual hematology & oncology provider in Chillicothe, Ohio, licensed in Ohio (35.126570) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1922398049
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameVAMSI KODURICredential: MD
Location Address4435 STATE ROUTE 159Chillicothe, OH 45601
Mailing Address4435 State Route 159Chillicothe, OH 45601-8620 · (740) 672-2025
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2011
Enumeration DateApril 11, 2011
Last NPPES UpdateJuly 26, 2018
NPI 1922398049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in OH · 35.126570
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
4435 STATE ROUTE 159, Chillicothe, OH 45601

Secondary Practice Location 1

Location 12139 Auburn AveCincinnati, OH 45219-2906 · Phone (513) 585-0855

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

Vamsi 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 ID1658621149
PECOS Enrollment IDI20180904001916
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 5

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 with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
211 services71 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
83 services52 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 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.
28 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
25 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier21 claims1,646 services$0.61 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier13 claims13 services$17.88 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 8

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

Nurse Practitioner (Family)
4435 STATE ROUTE 159
CHILLICOTHE, OH 45601
Nurse Practitioner (Family)
4435 STATE ROUTE 159
CHILLICOTHE, OH 45601
Internal Medicine (Hematology & Oncology)
4435 STATE ROUTE 159
CHILLICOTHE, OH 45601
Internal Medicine (Hematology & Oncology)
4435 STATE ROUTE 159
CHILLICOTHE, OH 45601
Internal Medicine (Hematology & Oncology)
4435 STATE ROUTE 159
CHILLICOTHE, OH 45601
Internal Medicine (Medical Oncology)
4435 STATE ROUTE 159
CHILLICOTHE, OH 45601
Nurse Practitioner
4435 STATE ROUTE 159
CHILLICOTHE, OH 45601
Radiology (Radiation Oncology)
4435 STATE ROUTE 159
CHILLICOTHE, OH 45601

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 Vamsi Koduri's NPI number?

The NPI number for Vamsi Koduri is 1922398049. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Vamsi Koduri located?

Vamsi Koduri practices at 4435 State Route 159, Chillicothe, OH 45601. The listed phone number is (740) 672-2025.

What is Vamsi Koduri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Vamsi Koduri enrolled in Medicare?

Yes. Vamsi 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 Vamsi Koduri accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Vamsi 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 Vamsi Koduri affiliated with any hospitals?

According to CMS data, Vamsi Koduri is affiliated with Riverside Methodist Hospital, Ohiohealth O'bleness Hospital and Genesis Hospital.

When was this NPI record last updated?

The NPPES record for Vamsi Koduri was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.