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SRIHARSHA GOWTHAM MD
NPI 1043747587
Internal Medicine in Fairbanks, AK

Active since May 15, 2017PECOS EnrolledAccepts Medicare Assignment
1919 LATHROP ST STE 100, FAIRBANKS, AK 99701(907) 459-3570(907) 459-3510 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2026, Jul 25, 2022, Jul 7, 2022 and 1 more (4 updates tracked since 2017).

About Sriharsha Gowtham Md NPPES

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

SRIHARSHA GOWTHAM MD (NPI 1043747587) is an individual internal medicine provider in Fairbanks, Alaska, licensed in Alaska (191517) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2017).

NPPES Registry Identity

NPI1043747587
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSRIHARSHA GOWTHAMCredential: MD
Location Address1919 LATHROP ST STE 100Fairbanks, AK 99701-5937
Mailing AddressPo Box 73720Fairbanks, AK 99707-3720
Phone(907) 459-3570
Fax(907) 459-3510
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2017
Enumeration DateMay 15, 2017
Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1043747587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AK · 191517
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.
1919 LATHROP ST STE 100, Fairbanks, AK 99701
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Other Identifiers 1

Medicaid1731611AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sriharsha Gowtham 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 ID1052657657
PECOS Enrollment IDI20220913003719
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.

Medicare Billing Reassignment

Medicare enrollment records show Sriharsha Gowtham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tanana Valley Clinic LLC
1.1 mi
Multi-Specialty
1001 NOBLE ST
Fairbanks, AK 99701
  • Reassigned Medicare billing, Alaska enrollment
  • 172 clinicians in this Medicare group
NPI 1922559558 (907) 459-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
120 services21 patients
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.
38 services35 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services26 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services15 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$8.81 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$122.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

CINDY D MOORE AGNP-BC
Nurse Practitioner (Adult Health)
1919 LATHROP ST STE 100
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3570
MARJORIE GRIERSON ALLAN A.N.P.
Nurse Practitioner (Women's Health)
1919 LATHROP ST STE 100
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1761

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 Sriharsha Gowtham's NPI number?

The NPI number for Sriharsha Gowtham is 1043747587. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Sriharsha Gowtham located?

Sriharsha Gowtham practices at 1919 Lathrop St Ste 100, Fairbanks, AK 99701. The listed phone number is (907) 459-3570.

What is Sriharsha Gowtham's specialty?

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

Is Sriharsha Gowtham enrolled in Medicare?

Yes. Sriharsha Gowtham 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.

Which organization bills Medicare for Sriharsha Gowtham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sriharsha Gowtham reassigns Medicare benefits to Tanana Valley Clinic LLC (Fairbanks, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sriharsha Gowtham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sriharsha Gowtham accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Sriharsha Gowtham 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.

When was this NPI record last updated?

The NPPES record for Sriharsha Gowtham was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.