DR. AMIT KUMAR KODURI (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1881125300

DR. AMIT KUMAR KODURI (MD) is a healthcare provider. based in Wichita, Kansas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 04-50895 (KS). The NPI Number for DR. AMIT KUMAR KODURI (MD) is 1881125300

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMIT KUMAR KODURI (MD)
NPI
1881125300
Phone
Not provided
Address
550 N HILLSIDE ST
Enumeration Date
26 March 2017
Last Update Date
17 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9139344300
Graduation Year
2017 (9 years ago)
PAC ID
5799062790
Group Practice PAC ID
7618122417
Professional Enrollment ID
I20250714004116
Address ID
KS662111215OV5100XSTXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

278 CARDIOVASCULAR DISEASE (CARDIOLOGY) in KS

Provider Addresses for DR. AMIT KUMAR KODURI (MD)

  • 550 N HILLSIDE ST

    WICHITA, KS 672144910

    Phone:

    Type: Mailing

  • 14510 LINDALE ROSE LN

    HUMBLE, TX 773964280

    Phone:

    Type: Mailing

  • St. Mary's, 1230, Baxter Street, Beechwood Hills, Athens, Athens-Clarke County, Georgia, 30606, United States

    ATHENS, GA 306063712

    Phone: (706) 389-3860

    Fax: (706) 389-3861

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $7,241.

Total Amount is formed as General ($7,241) + Research ($0) + Ownership ($0) = $7,241.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Medtronic, Inc. ($3,919).

Total Amount

$7,241

General + Research + Ownership

Payments

61

Total payment records

General Amount

$7,241

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2025-08-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250714004116ICardiovascular Disease (Cardiology)KSTBD
I20250823000429ICardiovascular Disease (Cardiology)MOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67214)

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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: 7618122417View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology)KS
Cardiac Surgery, Thoracic SurgeryKS
Cardiac Surgery, Thoracic SurgeryMO
Nurse PractitionerMO
Cardiovascular Disease (Cardiology), Interventional CardiologyKS
Interventional Cardiology, Internal MedicineMO
Nurse PractitionerMO
Cardiovascular Disease (Cardiology), Internal MedicineKS
-MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is there an official ID for DR. AMIT KUMAR KODURI (MD) in U.S. healthcare records?
The official identifier for DR. AMIT KUMAR KODURI (MD) is NPI 1881125300.
Is DR. AMIT KUMAR KODURI (MD) shown as active in public data?
Registry records indicate DR. AMIT KUMAR KODURI (MD) maintains an active NPI.
What area of care is associated with DR. AMIT KUMAR KODURI (MD)?
DR. AMIT KUMAR KODURI (MD)'s record emphasizes Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Where in Kansas is DR. AMIT KUMAR KODURI (MD) registered?
Use Wichita, Kansas as the headline location for DR. AMIT KUMAR KODURI (MD) here.
Does DR. AMIT KUMAR KODURI (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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