Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Vivek A Koduri, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538697347

Dr. Vivek A Koduri, MD is an Ophthalmology in Denver, Colorado. Qualified in 2017, 9 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
9
Licensed in
CO
In the registry since
2017
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

2045 N Franklin St
Denver, CO 80205-5437
Phone: (303) 338-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence DR.0066641 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TL0006446 (CO)

Record details

NPI number1538697347
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2017
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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