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MR. RAMAKUMAR NATARAJAN GOUNDER MD
NPI 1114996105
Ophthalmology in Pittsburgh, PA

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
1002 GREENTREE RD STE 105, PITTSBURGH, PA 15220(412) 489-6455(724) 695-8510 Get Directions Write a Review

NPPES record last updated: August 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Ramakumar Natarajan Gounder Md NPPES

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

MR. RAMAKUMAR NATARAJAN GOUNDER MD (NPI 1114996105) is an individual ophthalmology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD417220) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Clair Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1114996105
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. RAMAKUMAR NATARAJAN GOUNDERCredential: MD
Location Address1002 GREENTREE RD STE 105Pittsburgh, PA 15220-3226
Mailing Address2520 Mosside Blvd, Ste 1Monroeville, PA 15146-3526 · (412) 374-1220 · Fax (412) 374-8220
Phone(412) 489-6455
Fax(724) 695-8510
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 1997
Enumeration DateMarch 14, 2006
Last NPPES UpdateAugust 2, 2025
NPPES CertifiedAugust 2, 2025
✔ NPI 1114996105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD417220
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1002 GREENTREE RD STE 105, Pittsburgh, PA 15220
Open in Google Maps ↗

Secondary Practice Locations 4

Location 17411 University BlvdMoon Township, PA 15108-2592 · Phone (412) 733-6604 · Fax (724) 695-8510
Location 2217 S Broad StGrove City, PA 16127-1503 · Phone (724) 458-4840 · Fax (724) 849-7130
Location 350 Waterford PikeBrookville, PA 15825-2518 · Phone (814) 849-8344 · Fax (814) 849-7130
Location 42520 MOSSIDE BLVD, STE 1MONROEVILLE, PA 15146-3526 · Phone (412) 374-1220 · Fax (412) 374-8220

Other Identifiers 14

Other312055PA · Upmc
Other7732705PA · Cigna
OtherPA7220PA · Eyemed Cole Vision
Other7589430PA · Aetna Ppo
Other000000142774PA · Unison
Medicaid0019431640001PA
Other000211358PA · Hlth Am Advntr Individual
OtherPA17220PA · Vision Benefits Of Am
Other431979879PA · United Health Care
Other431979879PA · National Vision Admin
Other001325716PA · Highmark Individual Num
Other3039591PA · Aetna Hmo
Other43030PA · Davis Vision
Other016007PA · Doral Vision

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Mr. Ramakumar Natarajan Gounder 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 ID7315913308
PECOS Enrollment IDI20040910000054
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 Reassignments

4

Medicare enrollment records show Ramakumar Gounder reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Optique, Inc
0.2 mi
Optician
950 GREENTREE RD, SUITE 101
Pittsburgh, PA 15220
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1962685016 (412) 937-1112
Glaucoma-Cataract Consultants, Inc.
3.2 mi
Ophthalmology
1145 BOWER HILL RD, SUITE 205
Pittsburgh, PA 15243
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group
NPI 1235173097 (412) 572-6121
Advanced Ophthalmology Pittsburgh LLC
15 mi
Ophthalmology
2520 MOSSIDE BLVD, SUITE 1
Monroeville, PA 15146
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1881931194 (412) 374-1220
Laurel Eye Clinic
72 mi
Optometrist
50 WATERFORD PIKE
Brookville, PA 15825
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 15 clinicians in this Medicare group
NPI 1003878729 (814) 849-8344

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 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services74 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.
36 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
18 services12 patients

Hospital Affiliations CMS Care Compare

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

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15220 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Ramakumar Gounder's NPI number?

The NPI number for Ramakumar Gounder is 1114996105. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Ramakumar Gounder located?

Ramakumar Gounder practices at 1002 Greentree Rd Ste 105, Pittsburgh, PA 15220. The listed phone number is (412) 489-6455.

What is Ramakumar Gounder's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ramakumar Gounder enrolled in Medicare?

Yes. Ramakumar Gounder 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 organizations bill Medicare for Ramakumar Gounder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramakumar Gounder reassigns Medicare benefits to 4 organizations: Central Optique, Inc (Pittsburgh, PA), Glaucoma-Cataract Consultants, Inc. (Pittsburgh, PA), Advanced Ophthalmology Pittsburgh LLC (Monroeville, PA) and Laurel Eye Clinic (Brookville, PA). Each 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 Ramakumar Gounder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ramakumar Gounder accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 6 other insurers list Ramakumar Gounder 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 Ramakumar Gounder affiliated with any hospitals?

According to CMS data, Ramakumar Gounder is affiliated with St Clair Hospital.

When was this NPI record last updated?

The NPPES record for Ramakumar Gounder was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.