PAWAN GUNDAVARAM
NPI 1174717300
Internal Medicine - Hematology & Oncology in Roselle, NJ

Q: What is Pawan Gundavaram's NPI number?

The NPI number for Pawan Gundavaram is 1174717300. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Q: What is Pawan Gundavaram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Pawan Gundavaram was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 30, 2007PECOS Enrolled

776 E 3RD AVE, ROSELLE, NJ 07203(908) 259-8817(908) 259-8846 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Pawan Gundavaram NPPES

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

PAWAN GUNDAVARAM (NPI 1174717300) is an individual hematology & oncology provider in Roselle, New Jersey, licensed in New Jersey (MA2509079300) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174717300

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NamePAWAN GUNDAVARAM

Location Address776 E 3RD AVERoselle, NJ 07203-1698

Mailing Address1 Clara Maass Dr Ste 200Belleville, NJ 07109-3550 · (973) 751-8880 · Fax (973) 751-8950

Phone(908) 259-8817

Fax(908) 259-8846

Sole ProprietorNo

Enumeration DateAugust 30, 2007

Last NPPES UpdateFebruary 28, 2020

✔ NPI 1174717300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in NJ · MA2509079300

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

776 E 3RD AVE, Roselle, NJ 07203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pawan Gundavaram 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.

Medicare Billing Reassignments

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

Barnabas Health Medical Group, PC

7.8 mi

Specialist

95 OLD SHORT HILLS RD
West Orange, NJ 07052

Reassigned Medicare billing, New Jersey enrollment
757 clinicians in this Medicare group

NPI 1447206420 (888) 724-7123

Regional Cancer Care Associates LLC

9.8 mi

Hematology & Oncology

1 CLARA MAASS DR STE 200
Belleville, NJ 07109

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: New Jersey Cancer Care, PA
13 clinicians in this Medicare group

NPI 1447315502 (973) 751-8880

Fastmed Of Nj LLC

15 mi

Hematology & Oncology

476 COLFAX AVE
Clifton, NJ 07013

Reassigned Medicare billing, New Jersey enrollment
11 clinicians in this Medicare group

NPI 1942691100 (973) 594-7977

Colfax Oncology LLC

15 mi

Specialist

476 COLFAX AVE
Clifton, NJ 07013

Reassigned Medicare billing, New Jersey enrollment
7 clinicians in this Medicare group

NPI 1649225525 (973) 594-7977

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 07203 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

$190.92 typical visit price

range $63.84 – $190.92

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

Most-billed visit code 99205

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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%21 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

97%217 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier40 claims40 services$17.91 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

1 supplier40 claims41 services$34.88 avg. paid by Medicare

Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781

DME-Other DME · category DE000N

1 supplier18 claims18 services$176.99 avg. paid by Medicare

Injection, fluorouracil, 500 mg J9190

Treatment-Chemotherapy · category RH002N

1 supplier40 claims410 services$1.42 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 12

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

ROSELLE PODIATRY GROUP, PA

Podiatrist (Foot Surgery)

776 E 3RD AVE
ROSELLE, NJ 07203

Union County (908) 620-3200

YAMIRY MARRERO

Internal Medicine (Cardiovascular Disease)

776 E 3RD AVE
ROSELLE, NJ 07203

Union County (908) 241-5545

DR. KAPIL KUNDRA D.M.D

Dentist (General Practice)

776 E 3RD AVE, URBAN SMILES DENTAL PA , SUITE -LL2
ROSELLE, NJ 07203

Union County (908) 245-1600

DR. PHILLIP DAVISON M.D.

Urology

776 E 3RD AVE
ROSELLE, NJ 07203

Union County (908) 241-7800

MS. MARIA JOANNA ALARCON APN

Nurse Practitioner (Primary Care)

776 E 3RD AVE
ROSELLE, NJ 07203

Union County (908) 241-5534

UROLOGICAL GROUP OF UNION COUNTY PA

Urology

776 E 3RD AVE
ROSELLE, NJ 07203

Union County (908) 241-7800

PETER LENCHUR MD PHD

Internal Medicine (Cardiovascular Disease)

776 E 3RD AVE
ROSELLE, NJ 07203

Union County (908) 241-5545

ELLIOTH FISHKIN MD LLC

Internal Medicine (Hematology & Oncology)

776 E 3RD AVE
ROSELLE, NJ 07203

Union County (908) 259-8817

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 Pawan Gundavaram's NPI number?

The NPI number for Pawan Gundavaram is 1174717300. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Pawan Gundavaram located?

Pawan Gundavaram practices at 776 E 3rd Ave, Roselle, NJ 07203. The listed phone number is (908) 259-8817.

What is Pawan Gundavaram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Pawan Gundavaram enrolled in Medicare?

Yes. Pawan Gundavaram is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pawan Gundavaram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pawan Gundavaram reassigns Medicare benefits to 4 organizations: Barnabas Health Medical Group, PC (West Orange, NJ), Regional Cancer Care Associates LLC (Belleville, NJ), Fastmed Of Nj LLC (Clifton, NJ) and Colfax Oncology LLC (Clifton, NJ). 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 Pawan Gundavaram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pawan Gundavaram accept?

Health plans from Oscar Health list Pawan Gundavaram 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 Pawan Gundavaram was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.