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Active NPI 1538697347 Individual Practitioner Male Practitioner

Dr. Vivek A Koduri , MD

Ophthalmology • Denver, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vivek Koduri, MD is a certified Ophthalmology practicing in Denver, CO. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Koduri delivers high-quality medical care to the local community at 2045 N FRANKLIN ST.

Dr. Koduri is affiliated with Colorado Permanente Medical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2045 N Franklin St

Denver, CO 802055437

Telephone 3033384545
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Denver, CO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -16.9 yrs vs City Avg
City Avg: 25.9 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
85 Specialists

Practicing in Denver, CO (361 Statewide)

Telehealth Adoption Rate
1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koduri (9 Years) 9 Yrs
Denver Specialty Average (25.9 Years) 25.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92012 Established patient problem focused exam of visual system
18 12 $171.60 $85.18

Medical Specialties & State Licenses

CMS Verified: 2021-08-06
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CO DR.0066641

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License CO TL0006446

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Kaiser Commercial Number
029231 (CO)

Hospital & Practice Group Affiliations

Colorado Permanente Medical Group Pc

2045 N Franklin St, Denver, CO 802055437

Phone: 3033384545

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Robert Burman , MD, PhD

Radiology - Diagnostic Radiology

NPI 1003013830

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1003029299

Doctor of Medicine (M.D.)

NPI 1003038902

Doctor of Medicine (M.D.)

Cassandra Buzard , RN

Registered Nurse

NPI 1003054461

Registered Nurse

Erik Petersen , LPC

Counselor - Professional

NPI 1003060302

Licensed Professional Counselor

Lauren Hillary , PA-C

Physician Assistant

NPI 1003075821

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 06, 2021

Registered at 2045 N FRANKLIN ST, DENVER, CO 802055437 (Tel: 3033384545)

📍
Updated Business Mailing Address August 06, 2021

Registered at 10350 E DAKOTA AVE, DENVER, CO 802471314

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2021

Ophthalmology (License #DR.0066641 in CO)

NPI Profile Active May 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2017

Registered at 1960 N OGDEN ST STE 400, DENVER, CO 802183670 (Tel: (303) 318-1570)

📍
Updated Business Mailing Address May 24, 2017

Registered at 1960 N OGDEN ST STE 400, DENVER, CO 802183670 (Tel: 3033181570)

👤
Provider Name / Credentials Updated May 24, 2017

Recorded as VIVEK KODURI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2017

Student in an Organized Health Care Education/Training Program (License #TL0006446 in CO)

🟢
Initial NPI Registration & Enumeration May 24, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538697347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2017
Last Update: August 06, 2021
Sole Proprietor: No

Mailing Address

10350 E Dakota Ave

Denver, CO 802471314

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.