Active NPI
Vamsi Koduri, MD
- Hematology & Oncology Physician
- Chillicothe, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 35.126570
- Practice address
- 4435 State Route 159
Chillicothe, OH 45601 - Phone
- (740) 672-2025
- NPI assigned
- Apr 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 35.126570 | OH | Primary |
Addresses
Primary practice location
4435 State Route 159
Chillicothe, OH 45601
Mailing address
4435 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 672-2025
Other practice location 1
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-0855
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Wright State University Boonshoft School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
75 Hospital Dr
Suite 140
Athens, OH 45701-2858
Phone (740) 566-4657
Hospital & facility affiliations
- Ohiohealth O'Bleness Hospital
- Riverside Methodist Hospital
- Genesis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 55.23 of 100
- Quality
- 21.8
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 74.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.126570 | OH | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Medical Group LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Hematology & Oncology | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients |
Locations
75 Hospital Dr
Ste 140
Athens, OH 45701
Phone (740) 566-4720
75 Hospital Dr
Ste 170
Athens, OH 45701
Phone (740) 331-7111
4439 State Route 159
Chillicothe, OH 45601
Phone (740) 779-8728
4435 State Route 159
Chillicothe, OH 45601
Phone (740) 542-3030
4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
Dept L3652
Columbus, OH 43260
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
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.
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Columbus, OH
- NPI 1265627301
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Athens, OH
- NPI 1710913462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1922398049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4435 STATE ROUTE 159",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018620",
"telephone_number": "740-672-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4435 STATE ROUTE 159",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "45601",
"telephone_number": "740-672-2025"
}
],
"practiceLocations": [
{
"address_1": "2139 Auburn Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192906",
"country_code": "US",
"telephone_number": "513-585-0855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KODURI",
"first_name": "VAMSI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35.126570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.