Viji Koduvath

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP128758 Issued in TX

Practice address

1837 N Garland Ave
Garland, TX 75040-4561

Phone

(469) 432-4107

NPI assigned

Sep 17, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment NPD
• Viji Pradeep Koduvath PLLC

  • Family Medicine Physician
  • Garland, TX
  • NPI 1528528114
  Medicare reassignment NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Neurology Physician
  • Dallas, TX
  • NPI 1780654301
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1083083364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 N GARLAND AVE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404561",
            "telephone_number": "469-432-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 N GARLAND AVE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404561",
            "telephone_number": "469-432-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODUVATH",
        "first_name": "VIJI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355703501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Knight, PT
• Rylie Knight
• Knoll Point Place
• Teresa Knott, D.D.S.
• Tina L Knouse, RN, TXLAC
• Kohealthtechnologies LLC
• Ronald Edward Kohlstrand Jr., D.C.
• Caitlinn Kolibaba, DDS
• Susan H Koo, D.D.S.
• Andrea N Kordic, MS, RDN, LD

• Family Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.