Individual provider Active NPI

Jhansi L Koduri, MD

  • Hematology & Oncology Physician
  • Dayton, OH
National Provider Identifier
1164478772
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35084381 Issued in OH
Practice address
1029 Whispering Pine LN
Dayton, OH 45458-6061
Phone
(937) 286-2638
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35084381 OH Primary

Addresses

Primary practice location

1029 Whispering Pine LN
Dayton, OH 45458-6061

Mailing address

1029 Whispering Pine LN
Dayton, OH 45458-6061
Phone (937) 286-2638

Other practice location 1

400 Sugar Camp Cir Ste 200
Oakwood, OH 45409-1981
Phone (937) 276-8320

Other practice location 2

9000 N Main St Ste 233
Englewood, OH 45415-1184
Phone (937) 832-9310

Other practice location 3

501 Atrium Dr Ste 201
Middletown, OH 45005-5165
Phone (513) 974-8780

Other practice location 4

3006 N County Road 25A Ste 101
Troy, OH 45373-1373
Phone (937) 703-6270

Other practice location 5

2350 Miami Valley Dr Ste 210
Centerville, OH 45459-4778
Phone (937) 276-8320

Other practice location 6

2300 Miami Valley Dr Ste 350
Centerville, OH 45459-1294
Phone (937) 424-2469

Other practice location 7

3130 N County Road 25A Ste 107
Troy, OH 45373-1337
Phone (937) 703-6270

Other practice location 8

9000 N Main St Ste G-35
Englewood, OH 45415-1182
Phone (937) 276-8320

Other practice location 9

2300 Miami Valley Dr Ste 470
Centerville, OH 45459-4779
Phone (937) 276-8320

Other practice location 10

915 Michigan St Ste 202
Sidney, OH 45365-2401
Phone (937) 703-6270

Other identifiers 2

IdentifierTypeStateIssuer
000000389984OtherANTHEM
2522238MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000987 OH Practitioner - Hematology/Oncology 5193788107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

2300 Miami Valley Dr
FL 4
Centerville, OH 45459-4779
Phone (937) 276-8320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35084381OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Sep 1, 2022 Accepting new patients
Premier Health Specialists Inc CurrentSince Sep 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Hematology & Oncology of Dayton, Inc. Hematology & Oncology Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

2300 Miami Valley Dr
Fl 4
Centerville, OH 45459
Phone (937) 276-8320

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

2300 Miami Valley Dr
Ste 350
Dayton, OH 45459
Phone (937) 424-2469

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

9000 N Main St
Ste 233
Englewood, OH 45415
Phone (937) 832-3150

9000 N Main St
Ste G-35
Englewood, OH 45415
Phone (937) 276-8320

501 Atrium Dr
Ste 201
Middletown, OH 45005
Phone (513) 974-8780

400 Sugar Camp Cir
Ste 200
Oakwood, OH 45409
Phone (937) 262-7819

915 Michigan St
Ste 202
Sidney, OH 45365
Phone (937) 440-7665

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3130 N County Road 25A
Ste 107
Troy, OH 45373
Phone (937) 297-8253

Organizations & group practices 5

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 3

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1164478772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 WHISPERING PINE LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454586061",
            "telephone_number": "937-286-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 WHISPERING PINE LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454586061",
            "telephone_number": "937-286-2638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Sugar Camp Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oakwood",
            "state": "OH",
            "postal_code": "454091981",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St Ste 233",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151184",
            "country_code": "US",
            "telephone_number": "937-832-9310",
            "fax_number": "937-832-8613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Atrium Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055165",
            "country_code": "US",
            "telephone_number": "513-974-8780",
            "fax_number": "513-369-7474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3006 N County Road 25A Ste 101",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731373",
            "country_code": "US",
            "telephone_number": "937-703-6270",
            "fax_number": "937-641-2622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Miami Valley Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594778",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Miami Valley Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454591294",
            "country_code": "US",
            "telephone_number": "937-424-2469",
            "fax_number": "937-424-2479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A Ste 107",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-703-6270",
            "fax_number": "937-641-2622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St Ste G-35",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151182",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Miami Valley Dr Ste 470",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594779",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Michigan St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453652401",
            "country_code": "US",
            "telephone_number": "937-703-6270",
            "fax_number": "937-641-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODURI",
        "first_name": "JHANSI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35084381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000389984",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2522238",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.