Individual provider Active NPI

Anshuli Koduri

  • General Practice Physician
  • Reynoldsburg, OH
National Provider Identifier
1295178382
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35126707 Issued in OH
Practice address
1653 Brice Rd
Reynoldsburg, OH 43068-2799
Phone
(844) 300-0102
NPI assigned
Apr 9, 2013
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 35126707 OH
General Practice Physician 208D00000X 35126707 OH Primary

Addresses

Primary practice location

1653 Brice Rd
Reynoldsburg, OH 43068-2799

Mailing address

1653 Brice Rd
Reynoldsburg, OH 43068-2799
Phone (844) 300-0102

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
I20160201003133 OH Practitioner - General Practice 6002110780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Northeastern Ohio University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Step Recovery CenterGroup PAC ID 3375823115, 10 clinicians

Practice addresses (Care Compare)

1649 Brice Rd
Suite C
Reynoldsburg, OH 43068-2796
Phone (614) 300-5878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35126707OHMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Recovery Center Addiction Medicine CurrentSince Sep 22, 2018 Accepting new patients
First Step Recovery Center CurrentSince Sep 22, 2018 Accepting new patients
First Step Recovery Center Past Accepting new patients

Locations

813 Bryden Rd
Columbus, OH 43205
Phone (614) 392-7253

241 Paddock Ct
Delaware, OH 43015
Phone (740) 362-8686

2628 Kull Rd
Lancaster, OH 43130
Phone (614) 300-1878

1271 Crescent Heights Rd
Ste 200
Marion, OH 43302
Phone (614) 300-5878

245 Saint James St
Marion, OH 43302
Phone (740) 341-2067

1563 Brice Rd
Reynoldsburg, OH 43068

1649 Brice Rd
Ste C
Reynoldsburg, OH 43068
Phone (614) 300-5878

1653 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 300-5878

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1295178382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682799",
            "telephone_number": "844-300-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682799",
            "telephone_number": "844-300-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODURI",
        "first_name": "ANSHULI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35126707",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35126707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.