Laramie Pediatrics/Laramie Internal Medicine PC
NPI 1205386281ActiveOrganization· Pediatrics· Laramie, WY
Pediatrics in Laramie, Wyoming, registered in NPPES in October 2016, part of Laramie Pediatrics/Laramie Internal Medicine PC. The authorized official on file is Vijaya Madhavi Koduri, M.D, Owner.
Overview
| NPI | 1205386281 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Laramie Pediatrics/Laramie Internal Medicine PC |
| NPI issued | Oct 13, 2016 |
| Last updated in NPPES | Mar 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Clinic/Center, Medical Specialty | 261QM2500X | — | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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