DR. KAVYA GORUKANTI M.D.
NPI 1093133738
Hospitalist in Baltimore, MD

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
84/100
CMS Quality Rating
5200 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0100 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Feb 16, 2018 (2 updates tracked since 2018).

About Dr. Kavya Gorukanti M.d. NPPES

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

DR. KAVYA GORUKANTI M.D. (NPI 1093133738) is an individual hospitalist provider in Baltimore, Maryland, licensed in Maryland (D82888) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093133738
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. KAVYA GORUKANTICredential: M.D.
Location Address5200 EASTERN AVEBaltimore, MD 21224-2734
Mailing Address9910 Franklin Square DrBaltimore, MD 21236-4902 · (410) 933-6421 · Fax (410) 933-1390
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 31, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1093133738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MD · D82888
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

5200 EASTERN AVE, Baltimore, MD 21224

Secondary Practice Location 1

Location 122 S Greene St Rm N3E09Baltimore, MD 21201-1544 · Phone (410) 328-6110

Other Identifiers 1

OtherKR65MD · Medicare Ptan

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. Kavya Gorukanti M.d. 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 ID7214226737
PECOS Enrollment IDI20220407002119
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
501 services165 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
100 services98 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.27
Promoting Interoperability100
Improvement Activities40
Cost57.88

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$14.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$61.89 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 20

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

Psychologist (Clinical)
5200 EASTERN AVE, MFL CENTER TOWER SUITE 430
BALTIMORE, MD 21224
Physician Assistant (Medical)
5200 EASTERN AVE, MFL WEST TOWER, 6TH FLR
BALTIMORE, MD 21224
Psychologist (Clinical)
5200 EASTERN AVE, MASON F. LORD, 6TH FLOOR EAST
BALTIMORE, MD 21224
Internal Medicine
5200 EASTERN AVE, MASON F. LORD BUILDING CENTER TOWER, SUITE 4100
BALTIMORE, MD 21224
Dermatology
5200 EASTERN AVE, SUITE 2500
BALTIMORE, MD 21224
Physician Assistant (Medical)
5200 EASTERN AVE, MFL WEST, 6TH FLOOR CIMS SUITE
BALTIMORE, MD 21224
Internal Medicine
5200 EASTERN AVE, CIMS DIVISION, MFL-6W
BALTIMORE, MD 21224
Internal Medicine (Infectious Disease)
5200 EASTERN AVE, SUITE 381
BALTIMORE, MD 21224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093133738, enumerated as an "individual" on March 31, 2014.

The provider is located at 5200 EASTERN AVE BALTIMORE, MD 21224 and the phone number is (410) 550-0100.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.