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VIVEK V. GURUDUTT MD
NPI 1093736613
Otolaryngology in Roswell, GA

Active since July 21, 2006PECOS Enrolled
1360 UPPER HEMBREE RD, SUITE 201B, ROSWELL, GA 30076(770) 475-3361(770) 664-4431 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, Nov 19, 2015 (2 updates tracked since 2015).

About Vivek V. Gurudutt Md NPPES

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

VIVEK V. GURUDUTT MD (NPI 1093736613) is an individual otolaryngology provider in Roswell, Georgia, licensed in Georgia (73912) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093736613
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameVIVEK V. GURUDUTTCredential: MD
Location Address1360 UPPER HEMBREE RD, SUITE 201BRoswell, GA 30076-1171
Mailing Address4150 Deputy Bill Cantrell Memorial Dr Suite 260Cumming, GA 30040-2721 · (770) 292-3045 · Fax (770) 292-3046
Phone(770) 475-3361
Fax(770) 664-4431
Sole ProprietorYes
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1093736613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 73912
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1360 UPPER HEMBREE RD, Roswell, GA 30076
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Other Identifiers 1

Other246039YEXCPA · 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 (PECOS)

Vivek V. Gurudutt Md 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 30076 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 11

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

NORTHSIDE EAR, NOSE & THROAT, PC
Otolaryngology
1360 UPPER HEMBREE RD, 201
ROSWELL, GA 30076
Fulton County (770) 475-3361
DR. ANDREW DIAMOND MD
Otolaryngology
1360 UPPER HEMBREE RD, SUITE 201
ROSWELL, GA 30076
Fulton County (770) 475-3361
ALPHARETTA HEAD AND NECK SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1360 UPPER HEMBREE RD, SUITE 202
ROSWELL, GA 30076
Fulton County (404) 256-7532
SAMUEL LORENZO MD
Emergency Medicine (Emergency Medical Services)
1360 UPPER HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Fulton County (678) 672-5100
LESA KAGAN AUD, CCC-A
Audiologist
1360 UPPER HEMBREE RD, SUITE 201
ROSWELL, GA 30076
Fulton County (770) 475-3361
KSHITIJ VIPIN MAJMUNDAR MD
Specialist
1360 UPPER HEMBREE RD, SUITE 201
ROSWELL, GA 30076
Fulton County (770) 475-3361
GEORGIA NORTHSIDE EAR, NOSE AND THROAT, LLC
Allergy & Immunology
1360 UPPER HEMBREE RD, SUITE 201
ROSWELL, GA 30076
Fulton County (770) 475-3361
THOMAS A. JOHNSON, DDS
Dentist (Oral and Maxillofacial Radiology)
1360 UPPER HEMBREE RD, SUITE 201
ROSWELL, GA 30076
Fulton County (770) 475-3361

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 Vivek Gurudutt's NPI number?

The NPI number for Vivek Gurudutt is 1093736613. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Vivek Gurudutt located?

Vivek Gurudutt practices at 1360 Upper Hembree Rd Suite 201B, Roswell, GA 30076. The listed phone number is (770) 475-3361.

What is Vivek Gurudutt's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Vivek Gurudutt enrolled in Medicare?

Yes. Vivek Gurudutt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vivek Gurudutt was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.