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

Q: 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.

Q: What is Vamsi Koduri's specialty?

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

Q: 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.

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: November 01, 2026.

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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

Phone(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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Vamsi Koduri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adena Medical Group LLC

0.3 mi

Family Medicine

272 HOSPITAL RD
Chillicothe, OH 45601

Reassigned Medicare billing, Ohio enrollment
763 clinicians in this Medicare group

NPI 1235468083 (740) 779-7500

Ohiohealth Corporation

39 mi

Anesthesiology

111 S GRANT AVE FL 3
Columbus, OH 43215

Reassigned Medicare billing, Ohio enrollment
3,314 clinicians in this Medicare group

NPI 1407292105 (614) 566-8808

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 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 4

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

Berger Hospital

Acute Care Hospitals · Circleville, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360170

Location600 North Pickaway StreetCircleville, OH 43113 · Pickaway 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

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

CARISSA MITCHELL APRN. CNP

Nurse Practitioner (Family)