| Dr Sudheer Reddy Koyagura, MD, MPH | |
|
601 W Maple Ave, Suite 704, Springdale, AR 72764-5335 | |
| (479) 757-3717 | |
| Not Available |
| Full Name | Dr Sudheer Reddy Koyagura |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 601 W Maple Ave, Springdale, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528261617 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Medical Center-springdale | Springdale, AR | Hospital |
| Southwestern Medical Center | Lawton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springdale Bentonville Hbp Services Llc | 1052759263 | 94 |
| Ies Hsp Oklahoma Llc | 2163863341 | 16 |
| Entity Name | Mercy Hospital Berryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20040505000763 |
| Entity Name | St Marys Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
| Entity Name | Northwest Benton County Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871553073 PECOS PAC ID: 3577503689 Enrollment ID: O20050509000505 |
| Entity Name | Mercy Hospital Berryville |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20061104000216 |
| Entity Name | Ies Hsp Arkansas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205559705 PECOS PAC ID: 7416327523 Enrollment ID: O20230106000943 |
| Entity Name | Crawford Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346029204 PECOS PAC ID: 7517310014 Enrollment ID: O20240131004412 |
| Entity Name | Sebastian Physician Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255110110 PECOS PAC ID: 5294178448 Enrollment ID: O20240205003889 |
| Entity Name | Arkansas Post Discharge Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851152029 PECOS PAC ID: 0345686861 Enrollment ID: O20240306004442 |
| Entity Name | Springdale Bentonville Hbp Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811762701 PECOS PAC ID: 1052759263 Enrollment ID: O20240408001674 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sudheer Reddy Koyagura, MD, MPH 601 W Maple Ave, Suite 704, Springdale, AR 72764-5335 Ph: (479) 757-3717 | Dr Sudheer Reddy Koyagura, MD, MPH 601 W Maple Ave, Suite 704, Springdale, AR 72764-5335 Ph: (479) 757-3717 |
Emily Lauren Ruppert, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6800 Fax: 479-725-6577 |