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

Vidyasagar Koduri, MD

Individual provider Medical Oncology Physician · NPI 1043448293

Vidyasagar Koduri, MD is a Medical Oncology in Boston, Massachusetts. Graduated from Harvard Medical School in 2009, 17 years ago. Practices with Dana-Farber Cancer Institute, Inc, a 668-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
17
Trained at
Harvard Medical School
Licensed in
MA
In the registry since
2009
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

75 Francis St
Boston, MA 02115-6110
Phone: (617) 796-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence 252864 (MA)

Record details

NPI number1043448293
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2009
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023
Mailing address41 Centre St, Apt 204, Brookline, MA 02446-2850

Medicare enrollment

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

Medicare specialtyMEDICAL ONCOLOGY
Also practisesHEMATOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice Dana-Farber Cancer Institute, Inc. — 668 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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