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MYDHILI KANUMILLI M.D
NPI 1023391620
Internal Medicine in Gonzales, LA

Active since September 21, 2011PECOS Enrolled
2647 S SAINT ELIZABETH BLVD, GONZALES, LA 70737(225) 647-8511(225) 644-5213 Get Directions Write a Review

NPPES record last updated: April 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mydhili Kanumilli M.d NPPES

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

MYDHILI KANUMILLI M.D (NPI 1023391620) is an individual internal medicine provider in Gonzales, Louisiana, licensed in Louisiana (MD207526) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023391620
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMYDHILI KANUMILLICredential: M.D
Location Address2647 S SAINT ELIZABETH BLVDGonzales, LA 70737-5021
Mailing Address2647 S Saint Elizabeth BlvdGonzales, LA 70737-5021 · (225) 647-8511 · Fax (225) 644-5213
Phone(225) 647-8511
Fax(225) 644-5213
Sole ProprietorNo
Enumeration DateSeptember 21, 2011
Last NPPES UpdateApril 23, 2015
✔ NPI 1023391620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · MD207526
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2647 S SAINT ELIZABETH BLVD, Gonzales, LA 70737
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mydhili Kanumilli M.d 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 70737 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
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 13

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

OUR LADY OF LAKE ASCENSION, LLC
Health Educator
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Ascension Parish (225) 647-8511
DR. GRETCHEN MARIE YANDLE MD
Internal Medicine (Pulmonary Disease)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Ascension Parish (225) 647-8511
DR. AMER M. AWAD MD
Psychiatry & Neurology (Neurology)
2647 S SAINT ELIZABETH BLVD, SUITE 225
GONZALES, LA 70737
Ascension Parish (225) 647-8511
DR. RODNEY E HILLIS M.D.
Psychiatry & Neurology (Neurology)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Ascension Parish (225) 647-8511
DR. TREVOR C. RICHARD MD
Internal Medicine
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Ascension Parish (225) 647-8511
ALLAN L. EDMUNDS
Nurse Practitioner (Family)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Ascension Parish (225) 647-8511
DR. HAYTHAM KAWJI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Ascension Parish (225) 647-8511
MISS LAURA FRANCES BLACK PA-C
Physician Assistant
2647 S SAINT ELIZABETH BLVD, GONZALES
GONZALES, LA 70737
Ascension Parish (225) 647-8511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mydhili Kanumilli's NPI number?

The NPI number for Mydhili Kanumilli is 1023391620. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Where is Mydhili Kanumilli located?

Mydhili Kanumilli practices at 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737. The listed phone number is (225) 647-8511.

What is Mydhili Kanumilli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mydhili Kanumilli enrolled in Medicare?

Yes. Mydhili Kanumilli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mydhili Kanumilli was last updated on April 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.