NPIMap

Individual provider Active NPI

Narayana Murty Koduri, M.D

  • Psychiatry Physician
  • North Platte, NE
National Provider Identifier
1124279427
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26540 Issued in NE
Practice address
600 E Francis St
Suite 8
North Platte, NE 69101-6796
Phone
(308) 696-7251
Fax
(308) 532-4299
NPI assigned
Oct 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 26540 NE Primary

Addresses

Primary practice location

600 E Francis St
Suite 8
North Platte, NE 69101-6796

Mailing address

600 E Francis St
Suite 8
North Platte, NE 69101-6796
Phone (308) 696-7251

Other identifiers 1

IdentifierTypeStateIssuer
10025598700MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20121119000062 NE Practitioner - Psychiatry 5799820916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians

Practice addresses (Care Compare)

601 W Leota St
North Platte, NE 69101-6525

Hospital & facility affiliations

  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • Cozad Community Hospital Hospital, Cozad, NE, CCN 281327
  • Community Hospital Hospital, McCook, NE, CCN 281363
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26540NEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Psychiatry CurrentSince Apr 8, 2018 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
North Platte Nebraska Hospital Corporation Past Accepting new patients
County of Milwaukee Psychiatry Past Accepting new patients

Locations

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

601 W Leota St
Ste 500
North Platte, NE 69101
Phone (308) 696-7251

600 E Francis St
Ste 8
North Platte, NE 69101
Phone (308) 696-7277

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.

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": "1223164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1124279427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E FRANCIS ST",
            "address_2": "SUITE 8",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016796",
            "telephone_number": "308-696-7251",
            "fax_number": "308-532-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E FRANCIS ST",
            "address_2": "SUITE 8",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016796",
            "telephone_number": "308-696-7251",
            "fax_number": "308-532-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODURI",
        "first_name": "NARAYANA",
        "middle_name": "MURTY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-05",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "26540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025598700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.