GOWTHAMI SAI KOGILATHOTA JAGIRDHAR
NPI 1053940379
Internal Medicine - Gastroenterology in Newark, NJ

Q: What is Gowthami Sai Kogilathota Jagirdhar's NPI number?

The NPI number for Gowthami Sai Kogilathota Jagirdhar is 1053940379. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Gowthami Sai Kogilathota Jagirdhar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since April 07, 2020PECOS Enrolled

111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5000 Get Directions Write a Review

NPPES record last updated: May 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 23, 2026, Apr 7, 2020 (2 updates tracked since 2020).

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About Gowthami Sai Kogilathota Jagirdhar NPPES

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

GOWTHAMI SAI KOGILATHOTA JAGIRDHAR (NPI 1053940379) is an individual gastroenterology provider in Newark, New Jersey, licensed in Delaware (C1-0029484) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053940379

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameGOWTHAMI SAI KOGILATHOTA JAGIRDHAR

Location Address111 CENTRAL AVENewark, NJ 07102-1909

Mailing Address111 Central AveNewark, NJ 07102-1909 · (973) 877-5000

Phone(973) 877-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 7, 2020

Last NPPES UpdateMay 23, 20262 updates tracked since enumeration

NPPES CertifiedMay 23, 2026

✔ NPI 1053940379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in DE · C1-0029484

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

111 CENTRAL AVE, Newark, NJ 07102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gowthami Sai Kogilathota Jagirdhar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345706479

PECOS Enrollment IDI20260729003533

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 Gowthami Sai Kogilathota Jagirdhar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bayhealth Medical Center, Inc

130 mi

Orthopaedic Surgery

651 BAY ROAD, SUITE 1F
Dover, DE 19901

Reassigned Medicare billing, Delaware enrollment
272 clinicians in this Medicare group

NPI 1912766858 (302) 744-7113

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 20

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

RAKAN BASSAM AMMARI MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

PAUL V SCOTT CRNA

Registered Nurse

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5043

DR. HOI-WING SUSANNA YIM M.D.

Internal Medicine

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

KING EMERGENCY ASSOCIATES, P.A.

Emergency Medicine

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

DR. NITA MODI MD

Specialist

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

GATEWAY EMERGENCY SERVICES PC

Emergency Medicine

111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102

Essex County (469) 401-2386

DR. CHRYSTINA MILDRED KIWAN MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

KHALED MOHAMMAD KHALED BANI YASEEN MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (551) 250-3743

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 Gowthami Sai Kogilathota Jagirdhar's NPI number?

The NPI number for Gowthami Sai Kogilathota Jagirdhar is 1053940379. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Gowthami Sai Kogilathota Jagirdhar located?

Gowthami Sai Kogilathota Jagirdhar practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5000.

What is Gowthami Sai Kogilathota Jagirdhar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gowthami Sai Kogilathota Jagirdhar enrolled in Medicare?

Yes. Gowthami Sai Kogilathota Jagirdhar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gowthami Sai Kogilathota Jagirdhar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gowthami Sai Kogilathota Jagirdhar reassigns Medicare benefits to Bayhealth Medical Center, Inc (Dover, DE). 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 Gowthami Sai Kogilathota Jagirdhar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gowthami Sai Kogilathota Jagirdhar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Gowthami Sai Kogilathota Jagirdhar 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 Gowthami Sai Kogilathota Jagirdhar was last updated on May 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.