Maheswara Reddy Koppula, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

58980 Issued in TN

Practice address

651 Dunlop LN
Clarksville, TN 37040

Phone

(931) 502-5090

Fax

(931) 502-5081

NPI assigned

Jul 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Wright Center Medical GroupGroup PAC ID 6305841230, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
• Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkoppula@thewrightcenter.medentdirect.com

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.

• The Wright Center Medical Group

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1194739979
  Medicare reassignment Care Compare group NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  DE, PA

  Medicare reassignment NPD
• De Pacs 2 PA

  • Hospitalist Physician
  • Hockessin, DE
  • NPI 1457837981
  Medicare reassignment NPD
• Delaware Post Acute Medical Services 1

  • Hospitalist Physician
  • Wilmington, DE
  • NPI 1801325717
  Medicare reassignment NPD
• Inpatient Consultants of Pennsylvania PC

  • Hospitalist Physician
  • Newark, DE
  • NPI 1033376231

  Internal Medicine, PA

  Medicare reassignment NPD
• NJ Pacs 2 PA

  • Hospitalist Physician
  • Mendham, NJ
  • NPI 1740766195

  PA

  Medicare reassignment NPD
• Pennsylvania HM Associates PC

  • Hospitalist Physician
  • East Stroudsburg, PA
  • NPI 1841637865
  Medicare reassignment NPD
• Inpatient Consultants of Pennsylvania PC

  • Hospitalist Physician
  • Newtown Square, PA
  • NPI 1669880175

  Internal Medicine

  NPD
• The Wright Center Medical Group

  • Federally Qualified Health Center (FQHC)
  • Scranton, PA
  • NPI 1649836941

  Internal Medicine

  NPD
• 115 S Providence Road Operations LLC

  • Skilled Nursing Facility
  • Wallingford, PA
  • NPI 1417667130
  NPD (past)
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1366444507
  NPD (past)
• Prospect CCMC, LLC

  • General Acute Care Hospital
  • Chester, PA
  • NPI 1457715146
  NPD (past)

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

• Community Medical Center

  • Clinic/Center
  • Scranton, PA
  • NPI 1285032128

  Hospital

  Care Compare affiliation
• Community Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Scranton, PA
  • NPI 1306439856

  Hospital

  Care Compare affiliation
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1366444507
  Care Compare affiliation
• Community Medical Center

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1770960130

  Hospital

  Care Compare affiliation
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1972652063
  Care Compare affiliation
• Geisinger Mt Pleasant Imaging, a Service of Geisinger Comm Med Center

  • Diagnostic Radiology Physician
  • Scranton, PA
  • NPI 1467850149

  Hospital

  Care Compare affiliation
• Geisinger View Imaging, a Service of GCMC

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1548648272

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Imaging, a Service of GCMC

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1124405592

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Physical Therpy, a Service of GCMC

  • Physical Therapy Clinic/Center
  • Scranton, PA
  • NPI 1336526276

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Sleep Center, a Service of GCMC

  • Sleep Disorder Diagnostic Clinic/Center
  • Scranton, PA
  • NPI 1417334350

  Hospital

  Care Compare affiliation
• Wilkes Barre Hospital Company LLC

  • Clinic/Center
  • Wilkes Barre, PA
  • NPI 1053554378

  Hospital

  Care Compare affiliation
• Wilkes Barre Hospital Company LLC

  • General Acute Care Hospital
  • Wilkes Barre, PA
  • NPI 1255585303
  Care Compare affiliation

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1588017305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WASHINGTON AVE STE 1000",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053805",
            "telephone_number": "570-343-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 DUNLOP LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-502-5090",
            "fax_number": "931-502-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Dunlop Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "37040",
            "country_code": "US",
            "telephone_number": "931-502-5090",
            "fax_number": "931-502-5081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Covington St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445101617",
            "country_code": "US",
            "telephone_number": "330-480-2616",
            "fax_number": "330-480-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPPULA",
        "first_name": "MAHESWARA REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-16",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "028172",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD477801",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "DR-0026718",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "58980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100626230",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Allan Knox, PA-C
• Cory C Koester
• Wanda Kolacy
• Nyakeh Konneh, PHARMD
• Shelby L Koonce
• Giriprasadarao Korivi, MD
• Jyotsna Padmaja Korivi, MD
• Kevin Patrick Kornbluh, PHARMD
• Joseph Frank Kosinski, MD
• Sara Koski

• Internal Medicine Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.