Vijay Koduri, MD - Medicare Emergency Medicine in Cleveland, TX

Vijay Koduri, MD is a medicare enrolled "Emergency Medicine" physician in Cleveland, Texas. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Hcc Duncan Inc and his current practice location is 300 E Crockett St, Cleveland, Texas. You can reach out to his office (for appointments etc.) via phone at (800) 893-9698.

Vijay Koduri is licensed to practice in Texas (license number K1856) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659421279.

Contact Information

Vijay Koduri, MD
300 E Crockett St,
Cleveland, TX 77327-4029
(800) 893-9698
(337) 371-4656

Map and Direction




Physician's Profile

Full NameVijay Koduri
GenderMale
SpecialityEmergency Medicine
Experience45 Years
Location300 E Crockett St, Cleveland, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Vijay Koduri graduated from medical school in 1979
  NPI Data:
  • NPI Number: 1659421279
  • Provider Enumeration Date: 01/12/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7517957848
  • Enrollment ID: I20220817001671

Medical Identifiers

Medical identifiers for Vijay Koduri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659421279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine K1856 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Duncan Regional Hospital, IncDuncan, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hcc Duncan Inc17594478738

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. Vijay Koduri allows following entities to bill medicare on his behalf.
Entity NameNortheastern Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457574170
PECOS PAC ID: 1456255025
Enrollment ID: O20031125000250
Entity NameHcc Duncan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013153543
PECOS PAC ID: 1759447873
Enrollment ID: O20090225000497

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. Vijay 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 AddressPractice Location Address
Vijay Koduri, MD
200 Corporate Blvd, Suite 201,
Lafayette, LA 70508-3870

Ph: () -
Vijay Koduri, MD
300 E Crockett St,
Cleveland, TX 77327-4029

Ph: (800) 893-9698

Reviews and Comments


Emergency Medicine Doctors in Cleveland, TX

Dr. Timothy Mctigue, M.D., M.S.P.H.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 E Crockett St, Emergency Room, Cleveland, TX 77327
Phone: 281-593-2132    
Daniel Garza, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 E Crockett St, Cleveland, TX 77327
Phone: 800-893-9698    

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.