Anshuli Koduri, is a medicare enrolled "General Practice" physician in Reynoldsburg, Ohio. Her current practice location is
1653 Brice Rd, Reynoldsburg, Ohio. You can reach out to her office (for appointments etc.) via phone at
(844) 300-0102.
Anshuli Koduri is licensed to practice in Ohio (license number 35126707) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295178382.
Physician's Profile
| Full Name | Anshuli Koduri |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 1653 Brice Rd, Reynoldsburg, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295178382
- Provider Enumeration Date: 04/09/2013
- Last Update Date: 12/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002110780
- Enrollment ID: I20160201003133
Medical Identifiers
Medical identifiers for Anshuli Koduri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295178382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QA0401X | Family Medicine - Addiction Medicine | 35126707 (Ohio) | Secondary |
| 208D00000X | General Practice | 35126707 (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Anshuli Koduri allows following entities to bill medicare on her behalf.
| Entity Name | First Step Recovery Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467826453 PECOS PAC ID: 3375823115 Enrollment ID: O20161213000975 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anshuli Koduri is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Anshuli Koduri, 1653 Brice Rd, Reynoldsburg, OH 43068-2799 Ph: (844) 300-0102 | Anshuli Koduri, 1653 Brice Rd, Reynoldsburg, OH 43068-2799 Ph: (844) 300-0102 |
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