Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jyotsna Koduri, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679033096

Dr. Jyotsna Koduri, MD is a Physical Medicine and Rehabilitation in Denver, Colorado. Graduated from University of Oklahoma College of Medicine in 2019, 7 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
7
Trained at
University of Oklahoma College of Medicine
Licensed in
CA, CO
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1960 N Ogden St Ste 400
Denver, CO 80218-3670
Phone: (303) 318-1540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 1679033096 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CO)

Record details

NPI number1679033096
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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