KARTHIK KODURU (M.D.) – Internal Medicine Physician, NPI 1720241565
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
727 HEMATOLOGY/ONCOLOGY in IL
Loading map...
Provider Addresses for KARTHIK KODURU (M.D.)
Broadway, Quincy Point, Quincy, Norfolk County, Massachusetts, 02169, United States
QUINCY, IL 62301
Phone: (217) 277-3500
Fax: (217) 221-4013
Type: Location
3301 Broadway
Quincy, IL 62301
Phone: (217) 277-3500
Fax: (217) 221-4013
Type: Location
1005 Broadway St
Quincy, IL 623012834
Phone: (217) 222-6550
Type: Location
1400 Pin Oak Dr
Carterville, IL 629181600
Phone: (618) 985-3333
Fax: (618) 985-1318
Type: Location
Maine Street, Quincy, Adams County, Illinois, 62301, United States
QUINCY, IL 623014038
Phone: (217) 222-6550
Type: Mailing
1005 HARBORSIDE DR
STE 1.230
GALVESTON, TX 775550001
Phone: (409) 747-4087
Fax: (409) 747-0064
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121116000547 | I | Hematology/Oncology | IL | TBD |
| I20250815003835 | I | Hematology/Oncology | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 28 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 62301)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | IL | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 636 | 116 |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.