Vijaya Koduri, MBBS
NPI 1558672253 · Pediatrics Physician · Laramie, WY
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vijaya Koduri, MBBS is a Pediatrics Physician provider in Laramie, WY (NPI 1558672253).
Provider details
- NPI number
- 1558672253
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBBS
- Sex
- Female
- Sole proprietor
- No
- License
- 9303A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 501 S. Burma Ave.Gillette, WY 82716-3246Phone: (307) 688-3636Fax: (307) 688-3079
Registry dates
- Enumerated
- 2010-06-28
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Frequently asked questions
- What is Vijaya Koduri's NPI number?
- Vijaya Koduri's National Provider Identifier (NPI) is 1558672253, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vijaya Koduri's specialty?
- Vijaya Koduri is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Vijaya Koduri located?
- Vijaya Koduri's practice location on file with NPPES is 1252 N 22nd St, Laramie, WY 82072-5306.
- What is Vijaya Koduri's phone number?
- The practice phone number listed in the NPPES registry for Vijaya Koduri is (307) 745-3704.
- Does Vijaya Koduri accept Medicare?
- Vijaya Koduri is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vijaya Koduri's NPI active?
- Yes — Vijaya Koduri's NPI (1558672253) is active in the NPPES registry as of the last update on 2023-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.