SAI KIRAN GUDLA
NPI 1003566498
Radiology - Diagnostic Radiology in Charleston, SC

Q: What is Sai Kiran Gudla's NPI number?

The NPI number for Sai Kiran Gudla is 1003566498. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Q: What is Sai Kiran Gudla's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Sai Kiran Gudla was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2022PECOS Enrolled

169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(843) 792-2575 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sai Kiran Gudla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAI KIRAN GUDLA (NPI 1003566498) is an individual diagnostic radiology provider in Charleston, South Carolina, licensed in South Carolina (LL89748) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1003566498

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameSAI KIRAN GUDLA

Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-2134

Mailing Address11522 Turning Hawk RdCharlotte, NC 28277-3639

Phone(843) 792-2575

Sole ProprietorNo

Enumeration DateMarch 28, 2022

Last NPPES UpdateJune 23, 2023

NPPES CertifiedJune 23, 2023

✔ NPI 1003566498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in SC · LL89748

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

169 ASHLEY AVE RM 202, Charleston, SC 29425

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Secondary Practice Location 1

Location 11350 S Kings Dr Fl 3Charlotte, NC 28207-2134 · Phone (704) 446-1242

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sai Kiran Gudla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANAA ABDELMAGEED MD

Surgery