DIVYA KODURI MD
NPI 1932849429
Family Medicine in Alamogordo, NM

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment
2539 MEDICAL DR STE 105, ALAMOGORDO, NM 88310(508) 471-7499 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divya Koduri Md NPPES

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

DIVYA KODURI MD (NPI 1932849429) is an individual family medicine provider in Alamogordo, New Mexico, licensed in New Mexico (RS2022-0787) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Cruces, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1932849429
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDIVYA KODURICredential: MD
Location Address2539 MEDICAL DR STE 105Alamogordo, NM 88310-8720
Mailing Address2539 Medical Dr Ste 105Alamogordo, NM 88310-8720 · (508) 471-7499
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2022
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1932849429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · RS2022-0787
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RS2022-0787 (NM)
2539 MEDICAL DR STE 105, Alamogordo, NM 88310

Secondary Practice Location 1

Location 12450 S Telshor BlvdLas Cruces, NM 88011-5069 · Phone (575) 522-8641

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

Divya 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 ID3678073772
PECOS Enrollment IDI20250822003691
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 88310 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 Divya Koduri's NPI number?

The NPI number for Divya Koduri is 1932849429. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Divya Koduri located?

Divya Koduri practices at 2539 Medical Dr Ste 105, Alamogordo, NM 88310. The listed phone number is (508) 471-7499.

What is Divya Koduri's specialty?

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

Is Divya Koduri enrolled in Medicare?

Yes. Divya 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 Divya Koduri accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Divya 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.

When was this NPI record last updated?

The NPPES record for Divya Koduri was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.