Individual provider Active NPI

Lalitha Koduri, M.D.

  • Infectious Disease Physician
  • Johnston, RI
National Provider Identifier
1619922192
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD12101 Issued in RI
Practice address
1524 Atwood Ave Ste 220
Johnston, RI 02919-3278
Phone
(401) 272-1900
Fax
(401) 453-3049
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD12101 RI Primary

Addresses

Primary practice location

1524 Atwood Ave Ste 220
Johnston, RI 02919-3278

Mailing address

53 Old River Rd
Lincoln, RI 02865-1307
Phone (401) 333-6283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20060829000458 RI Practitioner - Infectious DiseasePractitioner - Internal Medicine 5698779940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Atwood Medical Associates LTDGroup PAC ID 0941106652, 24 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 220
Johnston, RI 02919-3288
Phone (401) 272-1900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGRIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine and Long Term Care Associates, LLC Infectious Disease CurrentSince Jul 1, 2006 Accepting new patients
Atwood Medical Associates LTD CurrentSince Jul 1, 2011 Accepting new patients
Wellness Resolutions, LLC Past Accepting new patients

Locations

333 Budlong Rd
Cranston, RI 02920
Phone (401) 943-4530

1370 Cranston St
Cranston, RI 02920
Phone (401) 943-1616

1524 Atwood Ave
Ste 220
Johnston, RI 02919
Phone (401) 272-1900

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

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 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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1619922192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 OLD RIVER RD",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651307",
            "telephone_number": "401-333-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 220",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193278",
            "telephone_number": "401-272-1900",
            "fax_number": "401-453-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODURI",
        "first_name": "LALITHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "RI",
            "license": "MD12101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.