ANITHA KODURU (M.D) – Geriatric Medicine (Internal Medicine) Physician, NPI 1689803785

ANITHA KODURU (M.D) is a healthcare provider. based in Evans, Georgia. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials M.D. They hold a License No. 2013016211 (MO). The NPI Number for ANITHA KODURU (M.D) is 1689803785

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ANITHA KODURU (M.D)
NPI
1689803785
Phone
(706) 854-2180
Address
447 N BELAIR RD STE 104
Enumeration Date
9 July 2009
Last Update Date
9 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7069450810
Graduation Year
2005 (21 years ago)
PAC ID
1153558820
Group Practice PAC ID
6002812401
Professional Enrollment ID
I20180831000762
Address ID
GA309095626AU1321XPKWY300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

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Provider Addresses for ANITHA KODURU (M.D)

  • North Belair Road, Snead, Evans, Columbia County, Georgia, 30809, United States

    EVANS, GA 30809

    Phone: (706) 854-2180

    Fax: (706) 854-2189

    Type: Location

  • 3525 S National Ave

    207

    Springfield, MO 658077310

    Phone: (417) 269-9220

    Type: Location

  • Lombardia, Via Pianezza, Villaggio Santa Caterina, Circoscrizione 5, Turin, Torino, Piemont, 10151, Italy

    AUGUSTA, GA 309031705

    Phone: (706) 774-7263

    Fax: (706) 774-7230

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 125 Open Payments records for all available years, with a total value of $2,159.

Total Amount is formed as General ($2,159) + Research ($0) + Ownership ($0) = $2,159.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novo Nordisk Inc ($624).

Total Amount

$2,159

General + Research + Ownership

Payments

125

Total payment records

General Amount

$2,159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-31

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
I20180831000762IInternal MedicineGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes305158$0
99213Established patient office or other outpatient visit, 20-29 minutes185119$0
82962Blood glucose (sugar) test performed by hand-held instrument11258$0
83036Hemoglobin a1c level9660$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9595$0
View full utilization report →

Insurance plans in this area (ZIP 30809)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002812401View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Pain ManagementVA
Internal MedicineGA
Nurse PractitionerGA
Family PracticeGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Family PracticeGA
Orthopedic SurgeryWV
N E U R O S U R G E R YGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Where can patients find ANITHA KODURU (M.D)'s NPI?
You can confirm ANITHA KODURU (M.D) with NPI 1689803785; it appears in the national provider directory.
Does this profile mean ANITHA KODURU (M.D) is currently active?
Yes — ANITHA KODURU (M.D) appears active in the national provider directory.
What field does ANITHA KODURU (M.D) work in?
You can think of ANITHA KODURU (M.D) as practicing within Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Does ANITHA KODURU (M.D) practice in Georgia?
You will see Evans, Georgia on file for ANITHA KODURU (M.D) alongside any extra practice locations.
How can I contact ANITHA KODURU (M.D)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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