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

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: August 02, 2026.

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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.