SRIVIDYA KODURU – Hospitalist Physician, NPI 1073804969

SRIVIDYA KODURU is a healthcare provider. based in Johns creek, Georgia. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold a License No. 073185 (GA). The NPI Number for SRIVIDYA KODURU is 1073804969

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
SRIVIDYA KODURU
NPI
1073804969
Phone
(678) 474-7038
Address
6325 HOSPITAL PKWY
Enumeration Date
26 April 2011
Last Update Date
21 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7706756025
Graduation Year
2002 (24 years ago)
PAC ID
0648589911
Professional Enrollment ID
I20151028000237
Address ID
GA301884461WO3203XLNXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

Provider Addresses for SRIVIDYA KODURU

  • 6325 HOSPITAL PKWY

    JOHNS CREEK, GA 300975775

    Phone: (678) 474-7038

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151028000237IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes325139$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes272148$0
99239Hospital discharge day management, more than 30 minutes127122$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 30097)

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Reviews

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Frequently asked questions

What identifier follows SRIVIDYA KODURU across health systems?
The NPI 1073804969 uniquely identifies SRIVIDYA KODURU in U.S. healthcare data.
Is SRIVIDYA KODURU's NPI status active today?
Active status means SRIVIDYA KODURU's NPI record is not deactivated in the public file.
How should patients interpret SRIVIDYA KODURU's specialty?
The extract shows Hospitalist Physician for SRIVIDYA KODURU. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SRIVIDYA KODURU?
SRIVIDYA KODURU is associated with Johns Creek, Georgia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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