Vinaya Koduri (NPI# 1043326887, PAC ID# 0941367007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1043326887 |
| PAC ID by PECOS | 0941367007 |
| Professional Enrollment ID | I20110324000401 |
| Full Name | Vinaya Koduri |
| Organization Legal Name | UNITED MEDICAL GROUP LLC |
| Address |
5701 State Ave Suite 100 Kansas City KS 66102-1281 |
| Phone Number | 9132877800 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9830085950 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170146 | PROVIDENCE MEDICAL CENTER |
| 170040 | UNIVERSITY OF KANSAS HOSPITAL |
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 | 9132877800 | UNITED MEDICAL GROUP LLC |
| 8909 Parallel Pkwy, Kansas City, KS 66112-1689 | 9135964200 | UNITED MEDICAL GROUP LLC |
| 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 9135964000 | UNITED MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | UNITED MEDICAL GROUP LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmed Baig | Family Medicine | United Medical Group LLC | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 |
| Shashank B Radadiya | Rheumatology | United Medical Group LLC | 5701 W 110th St, C/o Midamerica Rehabilitation Hospital, Overland Park, KS 66211-2503 |
| Michael Harwood | Internal Medicine | United Medical Group LLC | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 |
| Brandi Nicole Zinchak | Nurse Practitioner | United Medical Group LLC | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 |
| Pratip Patel | Internal Medicine | United Medical Group LLC | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 |
| Pravinchan N Patel | Gastroenterology | United Medical Group LLC | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 |
| Street Address |
5701 STATE AVE SUITE 100 |
| City | KANSAS CITY |
| State | KS |
| Zip | 66102-1281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana M Miller | Nurse Practitioner | Mid-america Cardiology Associates Inc | 5701 State Ave, Suite 300, Kansas City, KS 66102-1286 |
| Ahmed Baig | Family Medicine | United Medical Group LLC | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 |
| Herman Watson | General Surgery | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 | |
| Michael Harwood | Internal Medicine | United Medical Group LLC | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 |
| Brandi Nicole Zinchak | Nurse Practitioner | United Medical Group LLC | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 |
| Kevin M Mulhern | Cardiovascular Disease (cardiology) | Mid-america Cardiology Associates Inc | 5701 State Ave, Suite 300, Kansas City, KS 66102-1286 |
| Pratip Patel | Internal Medicine | United Medical Group LLC | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 |
| Saraswathi Sathyanarayana | Obstetrics/gynecology | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 | |
| Pravinchan N Patel | Gastroenterology | United Medical Group LLC | 5701 State Ave, Suite 100, Kansas City, KS 66102-1281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah A Meyer | Nurse Practitioner | Complete Health Care Services Pa | 1900 N 70th St, Victory Hills Senior Living, Kansas City, KS 66102-1094 |
| Gustav Thomas Riemer | Physician Assistant | American Current Care of Kansas Pa | 1333 Meadowlark Ln, Suite 200, Kansas City, KS 66102-1200 |
| Nalini G Premsingh | Cardiovascular Disease (cardiology) | 1601 Meadowlark Ln B, Kansas City, KS 66102-1284 | |
| Daniel Keith Frye | Obstetrics/gynecology | Center for Womens Health and Wellness | 1601 Meadowlark Ln C, Kansas City, KS 66102-1284 |
| Cora Evelyn Franklin | Nurse Practitioner | Wyandot Center for Community Behavioral Healthcare, Inc. | 1301 N 47th St, Wyandot Center, Kansas City, KS 66102-1705 |
| Christie Marie Mensch | Psychiatry | Wyandot Center for Community Behavioral Healthcare, Inc. | 1301 N 47th St, Wyandot Center, Kansas City, KS 66102-1705 |
| Kathryn Mettman | Nurse Practitioner | Wyandot Center for Community Behavioral Healthcare, Inc. | 1301 N 47th St, Wyandot Center, Kansas City, KS 66102-1705 |
| Jeffrey D Hubbell | Clinical Social Worker | Wyandot Center for Community Behavioral Healthcare, Inc. | 1301 N 47th St, Wyandot Center, Kansas City, KS 66102-1705 |
| Kacy S Warner | Nurse Practitioner | Jayhawk Primary Care Inc | 4810 State Ave, Kansas City, KS 66102-1748 |
| Janet S Brooks | Physical Therapy | Jayhawk Primary Care Inc | 4810 State Ave, Kansas City, KS 66102-1748 |
| Find all physicians in zip 66102 | |||
| City | KANSAS CITY |
| Zip Code | 66102 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KANSAS CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Vinaya Koduri.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.