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DR. KARTHIK GOURNANI M.D.
NPI 1154648350
Hospitalist in Bryn Mawr, PA

Active since April 27, 2010PECOS EnrolledAccepts Medicare Assignment
130 S BRYN MAWR AVE, H WING, SUITE 321, BRYN MAWR, PA 19010(484) 337-4097(484) 337-4082 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Karthik Gournani M.d. NPPES

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

DR. KARTHIK GOURNANI M.D. (NPI 1154648350) is an individual hospitalist provider in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (MD448449) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1154648350
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. KARTHIK GOURNANICredential: M.D.
Location Address130 S BRYN MAWR AVE, H WING, SUITE 321Bryn Mawr, PA 19010-3121
Mailing Address130 S Bryn Mawr Ave, H Wing, Suite 321Bryn Mawr, PA 19010-3121 · (484) 337-4097 · Fax (484) 337-4082
Phone(484) 337-4097
Fax(484) 337-4082
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 27, 2010
Last NPPES UpdateMay 1, 2017
✔ NPI 1154648350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD448449
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD448449 (PA)
130 S BRYN MAWR AVE, Bryn Mawr, PA 19010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Dr. Karthik Gournani 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 ID6507006400
PECOS Enrollment IDI20130716000792
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 Karthik Gournani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Main Line Healthcare
5.1 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585

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 7

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.

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.
692 services381 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
139 services70 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.
91 services91 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.
88 services88 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
85 services85 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.
64 services64 patients

Hospital Affiliations CMS Care Compare 2

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19010 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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
1 supplier13 claims13 services$14.06 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$910.36 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
1 supplier13 claims13 services$67.50 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.

DR. ERIC R. GINN M.D.
Hospitalist
130 S BRYN MAWR AVE, SUITE H321
BRYN MAWR, PA 19010
Delaware County (484) 337-4097
MRS. JODI LYNN KANZINGER NP
Nurse Practitioner (Adult Health)
130 S BRYN MAWR AVE, SUITE H321
BRYN MAWR, PA 19010
Delaware County (484) 337-4097
DR. CHERI KORB MD
Pediatrics
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Delaware County (484) 337-3000
ELIZABETH BELL PA-C
Physician Assistant
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Delaware County (484) 565-1048
WILLIAM ALBERT CROCKETT DO
Urology
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Delaware County (866) 225-5654
NANCY OCONNELL MOYER CRNA
Nurse Anesthetist, Certified Registered
130 S BRYN MAWR AVE, BRYN MAWR HOSPITAL ANESTHESIA DEPT.
BRYN MAWR, PA 19010
Delaware County (610) 526-3000
ASHLEY CURRERI PA-C
Physician Assistant
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Delaware County (484) 337-3000
DR. DANIEL KIM DO
Urology
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Delaware County No phone listed

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 Karthik Gournani's NPI number?

The NPI number for Karthik Gournani is 1154648350. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Where is Karthik Gournani located?

Karthik Gournani practices at 130 S Bryn Mawr Ave H Wing, Suite 321, Bryn Mawr, PA 19010. The listed phone number is (484) 337-4097.

What is Karthik Gournani's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Karthik Gournani enrolled in Medicare?

Yes. Karthik Gournani 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 Karthik Gournani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karthik Gournani reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). 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 Karthik Gournani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karthik Gournani accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Karthik Gournani 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 Karthik Gournani affiliated with any hospitals?

According to CMS data, Karthik Gournani is affiliated with Bryn Mawr Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Karthik Gournani was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.