Dr Sobha R Koduru, MD - Medicare Hospitalist in Newark, NJ

Dr Sobha R Koduru, MD is a medicare enrolled "Hospitalist" physician in Newark, New Jersey. Her current practice location is 150 Bergen St # Uhh-245, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 972-5672.

Dr Sobha R Koduru is licensed to practice in Arizona (license number 48189) 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 1114232428.

Contact Information

Dr Sobha R Koduru, MD
150 Bergen St # Uhh-245,
Newark, NJ 07103
(973) 972-5672
(973) 972-0365

Map and Direction




Physician's Profile

Full NameDr Sobha R Koduru
GenderFemale
SpecialityHospitalist
Location150 Bergen St # Uhh-245, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114232428
  • Provider Enumeration Date: 08/11/2010
  • Last Update Date: 02/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870728637
  • Enrollment ID: I20180110003308

Medical Identifiers

Medical identifiers for Dr Sobha R Koduru such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114232428NPI-NPPES
845863MedicaidAZ
0595403MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 48189 (Arizona)Secondary
208M00000XHospitalist 48189 (Arizona)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. Dr Sobha R Koduru allows following entities to bill medicare on her behalf.
Entity NameIpc Hospitalist Physicians Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639303159
PECOS PAC ID: 2769533165
Enrollment ID: O20090625000023

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. Dr Sobha R Koduru 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 AddressPractice Location Address
Dr Sobha R Koduru, MD
30 Bergen Street, Building 12 Room 1205,
Newark, NJ 07107-3000

Ph: (973) 972-0037
Dr Sobha R Koduru, MD
150 Bergen St # Uhh-245,
Newark, NJ 07103

Ph: (973) 972-5672

Reviews and Comments


Hospitalist Doctors in Newark, NJ

Vivek K. Vadehra, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 30 Bergen St, Admc 12 1205, Newark, NJ 07107
Phone: 973-972-0037    Fax: 973-972-9355
Dr. Kanik Pradeep Kathuria, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-7425    Fax: 973-926-6130
Dr. Dhvani Doshi, M.D., M.P.H.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 150 Bergen St Rm H245, Newark, NJ 07103
Phone: 973-972-5672    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.