Vinaya Koduri Internal Medicine
5701 State Ave, Kansas City, KS 66102-1281


Vinaya Koduri is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1043326887. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 0941367007. The primary specialty is INTERNAL MEDICINE. The organization is UNITED MEDICAL GROUP LLC. The address is 5701 State Ave, Kansas City, KS 66102-1281. The zip code is 66102.


Vinaya Koduri · 5701 State Ave, Kansas City, KS 66102-1281

Nation Provider ID 1043326887
PAC ID by PECOS 0941367007
Professional Enrollment ID I20110324000401
Last Name KODURI
First Name VINAYA
Gender M
Medical School Name OTHER
Graduation Year 1986
Primary Specialty INTERNAL MEDICINE
Primary Specialty UNITED MEDICAL GROUP LLC
Phone Number 9132877800
Group Practice PAC ID 9830085950
Number of Group Practice Members 7
Address 5701 STATE AVE
KANSAS CITY, KS 661021281
Claims Based Hospital Affiliation Claim Control Number (CCN): 170146
Legal Business Name: PROVIDENCE MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 170104
Legal Business Name: SHAWNEE MISSION MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 170040
Legal Business Name: UNIVERSITY OF KANSAS HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

United Medical Group LLC · Medicare Physician

Name Address Specialty
Pratip Patel 5701 State Ave, Kansas City, KS 66102-1281 INTERNAL MEDICINE
Ahmed Baig 5701 State Ave, Kansas City, KS 66102-1281 FAMILY PRACTICE
Sivakoti Katta 5701 W 110th St, Overland Park, KS 66211-2503 PHYSICAL MEDICINE AND REHABILITATION
Pravinchan Patel 5701 State Ave, Kansas City, KS 66102-1281 GASTROENTEROLOGY
Michael Harwood 5701 State Ave, Kansas City, KS 66102-1281 INTERNAL MEDICINE
Shashank Radadiya 5701 State Ave, Kansas City, KS 66102-1281 RHEUMATOLOGY

Zip 66102 · Internal Medicine · Medicare Physician

Name Address Specialty
Alanna Lee 1202 N 38th St, Kansas City, KS 66102-2229 INTERNAL MEDICINE
Pratip Patel 5701 State Ave, Kansas City, KS 66102-1281 INTERNAL MEDICINE
Michael Harwood 5701 State Ave, Kansas City, KS 66102-1281 INTERNAL MEDICINE
Norman Forester 1202 N 38th St, Kansas City, KS 66102-2229 INTERNAL MEDICINE

Zip 66102 · Medicare Physician

Name Address Specialty
Daniel Frye 1601 Meadowlark Ln C, Kansas City, KS 66102-1284 OBSTETRICS/GYNECOLOGY
Kathryn Mettman 1301 N 47th St, Kansas City, KS 66102-1705 NURSE PRACTITIONER
Pravinchan Patel 5701 State Ave, Kansas City, KS 66102-1281 GASTROENTEROLOGY
Michael Harwood 5701 State Ave, Kansas City, KS 66102-1281 INTERNAL MEDICINE
Herman Watson 5701 State Ave, Kansas City, KS 66102-1281 GENERAL SURGERY
Christie Mensch 1301 N 47th St, Kansas City, KS 66102-1705 PSYCHIATRY
James Brockenbrough 1610 Washington Blvd, Kansas City, KS 66102-2842 THORACIC SURGERY
Carl Kramer 21 N 12th St, Kansas City, KS 66102-5172 OPTOMETRY
Michael Mancina 1610 Washington Blvd, Kansas City, KS 66102-2842 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Pratip Patel 5701 State Ave, Kansas City, KS 66102-1281 INTERNAL MEDICINE
Kyle Kelly 21 N 12th St, Kansas City, KS 66102-5172 OPTOMETRY
Alanna Lee 1202 N 38th St, Kansas City, KS 66102-2229 INTERNAL MEDICINE
Regina Singleton 21 N 12th St, Kansas City, KS 66102-5172 CLINICAL SOCIAL WORKER
Ahmed Baig 5701 State Ave, Kansas City, KS 66102-1281 FAMILY PRACTICE
Anil Gosalia 1610 Washington Blvd, Kansas City, KS 66102-2842 FAMILY PRACTICE
Shashank Radadiya 5701 State Ave, Kansas City, KS 66102-1281 RHEUMATOLOGY
Nalini Premsingh 1601 Meadowlark Ln B, Kansas City, KS 66102-1284 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Norman Forester 1202 N 38th St, Kansas City, KS 66102-2229 INTERNAL MEDICINE
Cynthia Moses 21 N 12th St, Kansas City, KS 66102-5172 CLINICAL SOCIAL WORKER