Hemanth Kumar Koduri, M.D

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

046197 Issued in CT

Practice address

25 Remington Dr
Edison, NJ 08820-3626

Phone

(732) 906-2018

Fax

(732) 906-2018

NPI assigned

Feb 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Aspen Medical Associates, PA

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1093848905

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Aspen Medical Associates, LLC

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1699912196

  Physical Medicine & Rehabilitation

  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1801065198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 REMINGTON DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203626",
            "telephone_number": "732-906-2018",
            "fax_number": "732-906-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 REMINGTON DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203626",
            "telephone_number": "732-906-2018",
            "fax_number": "732-906-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODURI",
        "first_name": "HEMANTH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "046197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Knerr, PA-C
• Jonathan Philip Knowles, MD
• Young Nam Ko, RPH.
• Mary Margaret Kobes
• Beaula V Koduri, MD
• Daniel Al Kohl, BACHELORS
• Patricia Helen Kolesa, MS, RD, RDN
• Eric Lewis Kolodin, DPM
• Agnes Kontoh
• Jeffrey Julian Kooy

• Physical Medicine & Rehabilitation Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.