NPIMap

Individual provider Active NPI

Sailaja Koduri

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1306811344
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD047249L Issued in PA
Practice address
211 N Whitfield St
Suite 550
Pittsburgh, PA 15206-3039
Phone
(412) 661-1210
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD047249L PA Primary

Addresses

Primary practice location

211 N Whitfield St
Suite 550
Pittsburgh, PA 15206-3039

Mailing address

211 N Whitfield St
Suite 550
Pittsburgh, PA 15206-3039

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sailaja.koduri@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070228000219 PA Practitioner - Internal Medicine 9931201589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

5140 Liberty Ave
Pittsburgh, PA 15224-2215
Phone (412) 683-7815

875 N Hermitage Rd
Hermitage, PA 16148-3278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047249LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Nov 1, 2010 Accepting new patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Nov 1, 2010 Accepting new patients
Upmc Community Medicine Inc Internal Medicine Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

5140 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 682-2100

5140 Liberty Ave
Ste 150
Pittsburgh, PA 15224
Phone (412) 315-0400

2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

211 N Whitfield St
Ste 550
Pittsburgh, PA 15206
Phone (412) 432-1758

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 8

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1306811344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N WHITFIELD ST",
            "address_2": "SUITE 550",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N WHITFIELD ST",
            "address_2": "SUITE 550",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063039",
            "telephone_number": "412-661-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODURI",
        "first_name": "SAILAJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD047249L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sailaja.koduri@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.