ANITHA KODURU M.D NPI 1689803785

NPI Information

  • NPI: 1689803785
  • Provider Name: ANITHA KODURU, M.D
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 447 N BELAIR RD STE 104
    EVANS, GA
    ZIP 30809
  • Phone: (706) 854-2180

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NPI Details

Anitha Koduru, M.D is a geriatric medicine internal medicine in Evans, GA with 21 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Anitha Koduru, M.D NPI is 1689803785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

447 N BELAIR RD STE 104
EVANS, GA
ZIP 30809
Phone: (706) 854-2180
Fax: (706) 854-2189

The NPI 1689803785 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hemoglobin a1c level (HCPCS:83036)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Automated urinalysis test (HCPCS:81003)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 7/9/2009 and was last updated on 7/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine2013016211MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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