Active NPI
Srilatha Koduru, MD
- Internal Medicine Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301102306
- Practice address
- G3230 Beecher Rd
Suite 2
Flint, MI 48532-3604 - Phone
- (810) 342-5800
- Fax
- (810) 342-5810
- NPI assigned
- Jul 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301102306 | MI | Primary |
Addresses
Primary practice location
G3230 Beecher Rd
Suite 2
Flint, MI 48532-3604
Mailing address
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-1000
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301102306 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of TX, PLLC | Current | Accepting new patients | |
| Inpatient Progressive Health of America, PLLC | Current | Accepting new patients | |
| Christus Santa Rosa Health Care Corporation | Past | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
Organizations & group practices 4
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.
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1417321076
-
dba CHRISTUS Santa Rosa Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
-
dba Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
dba Metropolitan Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
dba Methodist Specialty and Transplant Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
dba Peterson Regional Medical Center
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1093155160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323638",
"telephone_number": "810-342-1000",
"fax_number": "810-342-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3230 BEECHER RD",
"address_2": "SUITE 2",
"city": "FLINT",
"state": "MI",
"postal_code": "485323604",
"telephone_number": "810-342-5800",
"fax_number": "810-342-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KODURU",
"first_name": "SRILATHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-03",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301102306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.