Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BHARAT KUMAR GUMMADI MD
NPI 1033141692
Internal Medicine - Interventional Cardiology in Jacksonville, FL

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
836 PRUDENTIAL DR STE 1700, JACKSONVILLE, FL 32207(904) 398-0125(904) 376-3206 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Dec 1, 2025, Mar 31, 2020 and 1 more (4 updates tracked since 2015).

About Dr. Bharat Kumar Gummadi Md NPPES

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

DR. BHARAT KUMAR GUMMADI MD (NPI 1033141692) is an individual interventional cardiology provider in Jacksonville, Florida, licensed in Florida (ME96186) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1033141692
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. BHARAT KUMAR GUMMADICredential: MD
Location Address836 PRUDENTIAL DR STE 1700Jacksonville, FL 32207-8344
Mailing AddressPo Box 746652Atlanta, GA 30374-6652 · (904) 202-2092 · Fax (904) 376-4075
Fax(904) 376-3206
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1033141692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in FL · ME96186
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME96186 (FL)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License ME96186 (FL)
836 PRUDENTIAL DR STE 1700, Jacksonville, FL 32207

Other Identifiers 3

OtherP01191148FL · Railroad Medicare
Medicaid2757036-00FL
Medicaid003125740AGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Bharat Kumar Gummadi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335142306
PECOS Enrollment IDI20060811000069
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.

Areas of Expertise CMS Part B claims 34

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
864 services610 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
344 services215 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
311 services309 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
282 services257 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
276 services250 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
199 services192 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Internal Medicine (Interventional Cardiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Internal Medicine (Clinical Cardiac Electrophysiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Internal Medicine (Interventional Cardiology)
836 PRUDENTIAL DR STE 1700, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207
Nurse Practitioner
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Nurse Practitioner
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Internal Medicine (Clinical Cardiac Electrophysiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Nurse Practitioner
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207

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 Bharat Gummadi's NPI number?

The NPI number for Bharat Gummadi is 1033141692. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Bharat Gummadi located?

Bharat Gummadi practices at 836 Prudential Dr Ste 1700, Jacksonville, FL 32207. The listed phone number is (904) 398-0125.

What is Bharat Gummadi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Bharat Gummadi enrolled in Medicare?

Yes. Bharat Gummadi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bharat Gummadi accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Bharat Gummadi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bharat Gummadi affiliated with any hospitals?

According to CMS data, Bharat Gummadi is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Bharat Gummadi was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.