NPIMap

Individual provider Active NPI

Swapna Koduru, M.D.

  • Rheumatology Physician
  • Abilene, TX
National Provider Identifier
1124262209
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
P2022 Issued in TX
Practice address
1850 Hickory St
Suite 200
Abilene, TX 79601-2325
Phone
(325) 670-4590
Fax
(325) 670-4587
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0101249330 VA
Rheumatology Physician 207RR0500X P2022 TX Primary

Addresses

Primary practice location

1850 Hickory St
Suite 200
Abilene, TX 79601-2325

Mailing address

PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120625000666 TX Practitioner - Rheumatology 6204013246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1850 Hickory St
Abilene, TX 79601-2305

1904 Pine St
Abilene, TX 79601-2450

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
  • Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055
  • Stephens Memorial Hospital Hospital, Breckenridge, TX, CCN 671302
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303

Merit-based Incentive Payment System (MIPS)

Final score
81.2 of 100Reported as individual
Quality
63.51
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network Rheumatology CurrentSince Jul 16, 2012 Accepting new patients
Hendrick Medical Center Current Accepting new patients
Hendrick Provider Network CurrentSince Jul 16, 2012 Accepting new patients

Locations

1850 Hickory St
Ste 200
Abilene, TX 79601
Phone (325) 670-3900

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1850 Hickory St
Ste 200F
Abilene, TX 79601
Phone (325) 670-4220

Interoperability endpoints

  • Direct secure messaging: swapna.koduru.1@21794.direct.athenahealth.com
  • Direct secure messaging: skoduru@hmc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1124262209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796041198",
            "telephone_number": "325-670-4220",
            "fax_number": "325-670-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST",
            "address_2": "SUITE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012325",
            "telephone_number": "325-670-4590",
            "fax_number": "325-670-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODURU",
        "first_name": "SWAPNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101249330",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "P2022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.