DR. SANDEEP GUTTIKONDA MD NPI 1003040031

Emergency Medicine in Dallas, TX

NPI 1003040031 Individual Male Emergency Medicine PECOS Enrolled

About SANDEEP GUTTIKONDA

Sandeep Guttikonda is a provider established in Dallas, Texas and his medical specialization is emergency medicine. The NPI number of Sandeep Guttikonda is 1003040031 and was assigned on May 2009. The practitioner's primary taxonomy code is 207P00000X with license number P4315 (TX). The provider is registered as an individual and his NPI record was last updated 7 years ago.

Sandeep Guttikonda is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Sandeep Guttikonda is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003040031

Provider NameDR. SANDEEP GUTTIKONDA MD
Provider Location Address5323 HARRY HINES BOULEVARD DALLAS, TX 75390
Provider Mailing AddressP.O. BOX 845347 DALLAS, TX 75284
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-05-2009
Last Update Date09-15-2014


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.P4315
License StateTX
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DR. SANDEEP GUTTIKONDA MD
5323 HARRY HINES BOULEVARD
DALLAS, TX
ZIP 75390
Phone: (214) 648-3916
Fax: (214) 648-8423

Get Directions


Mailing Address

DR. SANDEEP GUTTIKONDA MD
P.O. BOX 845347
DALLAS, TX
ZIP 75284
Phone: (214) 648-3916
Fax: (214) 648-8423



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramMONo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023078607 SUSAN THERESA IANNACCONE MD
Individual
Psychiatry & Neurology (Neurology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2768
1174584593 CLAUS G ROEHRBORN MD
Individual
Urology5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-0624
1245338623MR. KEMP H KERNSTINE MD, PH.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-7700
1285825505 SHANNON ELIZABETH BLALOCK MD
Individual
Pediatrics (Pediatric Cardiology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2333
1184788416DR. DHARAM JAYDEEP KUMBHANI M.D.
Individual
Internal Medicine (Cardiovascular Disease)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-8000
1013063627 SASAN MIRFAKHRAEE MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800
1548307481DR. ISABEL CRISTINA ROJAS SANTAMARIA M.D.
Individual
Pediatrics (Pediatric Gastroenterology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-8000
1154539534 TARA MICHELLE DUVAL MD
Individual
Internal Medicine (Geriatric Medicine)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-8600
1689834277DR. ABBIE MARTHA EWELL MD
Individual
Psychiatry & Neurology (Psychiatry)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 590-8761
1235387531 MANISH R MOHANKA MD, MPH
Individual
Internal Medicine (Pulmonary Disease)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800
1104053628 ANITA ANJALI HEGDE M.D.
Individual
Internal Medicine5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-9741
1689965659DR. MICHELLE RIMA KANDALAFT PH.D.
Individual
Psychologist5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-5160
1013977487DR. ARTHUR EDWARD FRANKEL MD
Individual
Internal Medicine (Hematology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-4673
1275616195 JORGE ALBERTO MARRERO M.D.
Individual
Internal Medicine (Gastroenterology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-0595
1932250115DR. BRIDGET DANIELLE STUART MD
Individual
Pediatrics (Pediatric Pulmonology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-3903
1225229164DR. ZARMINA AMAN MD
Individual
Obstetrics & Gynecology5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-3838
1609053875DR. DEVIKA RADHIKA RAO MD
Individual
Pediatrics (Pediatric Pulmonology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2857
1992956825 SHAI MANZURI MD
Individual
Pediatrics (Pediatric Critical Care Medicine)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-5095
1659383040 NICOLE DENAE BENJAMIN PA-C
Individual
Physician Assistant5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-8000
1841385580DR. CATHERINE B. ORSAK M.D.
Individual
Psychiatry & Neurology (Psychiatry)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-3043

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.