DR. RAVI K KODURU (M.D.) – Internal Medicine Physician, NPI 1265521058

DR. RAVI K KODURU (M.D.) is a healthcare provider. based in Terre haute, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01057643A (IN). The NPI Number for DR. RAVI K KODURU (M.D.) is 1265521058

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAVI K KODURU (M.D.)
NPI
1265521058
Phone
(812) 478-8888
Address
264 E TRAILWOOD DR
Enumeration Date
12 October 2006
Last Update Date
19 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122351200
Graduation Year
1994 (32 years ago)
PAC ID
7517862006
Group Practice PAC ID
8426943614
Professional Enrollment ID
I20031208000114
Address ID
IN478026815TE601XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,517 INTERNAL MEDICINE in IN

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Provider Addresses for DR. RAVI K KODURU (M.D.)

  • 264 E TRAILWOOD DR

    TERRE HAUTE, IN 478029606

    Phone: (812) 478-8888

    Fax: (812) 478-1114

    Type: Mailing

  • 1332, North 7th Street, Twelve Points, Terre Haute, Vigo County, Indiana, 47807, United States

    TERRE HAUTE, IN 478071004

    Phone: (812) 478-8888

    Fax: (812) 478-1114

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 115 Open Payments records for all available years, with a total value of $2,216.

Total Amount is formed as General ($2,216) + Research ($0) + Ownership ($0) = $2,216.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($435).

Total Amount

$2,216

General + Research + Ownership

Payments

115

Total payment records

General Amount

$2,216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2003-12-08

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
I20031208000114IInternal MedicineINTBD

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 minutes878327$0
99213Established patient office or other outpatient visit, 20-29 minutes399245$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit179179$0
G0008Administration of influenza virus vaccine10497$0
G0444Annual depression screening, 5 to 15 minutes103103$0
View full utilization report →

Insurance plans in this area (ZIP 47802)

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Provider's Procedures

DR. RAVI K KODURU (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIN90670Pneumococcal vaccine for injection into muscle121121

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: 8426943614View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseaseIN
O B S T E T R I C S/ G Y N E C O L O G YIN
-IN
Internal MedicineIN
Cardiac SurgeryOH
Hematology/Oncology, Medical OncologyIN
-AR
-IN
P S Y C H I A T R YIN
-IN

Reviews

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Frequently asked questions

What NPI should I save for DR. RAVI K KODURU (M.D.)?
Save NPI 1265521058 if you need a stable reference for DR. RAVI K KODURU (M.D.).
Does this profile mean DR. RAVI K KODURU (M.D.) is currently active?
Yes — DR. RAVI K KODURU (M.D.) appears active in the national provider directory.
What does DR. RAVI K KODURU (M.D.) treat or focus on?
Patients typically see DR. RAVI K KODURU (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. RAVI K KODURU (M.D.) practice in Indiana?
You will see Terre Haute, Indiana on file for DR. RAVI K KODURU (M.D.) alongside any extra practice locations.
How can I contact DR. RAVI K KODURU (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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