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PRIYANKA REDDY GUDOOR M.D.
NPI 1174936892
Family Medicine in Fort Worth, TX

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
6100 HARRIS PKWY, FORT WORTH, TX 76132(817) 433-5977(817) 433-5989 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2025, Jul 10, 2025, Apr 16, 2019 (3 updates tracked since 2019).

About Priyanka Reddy Gudoor M.d. NPPES

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

PRIYANKA REDDY GUDOOR M.D. (NPI 1174936892) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (V4915) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Southwest F, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1174936892
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRIYANKA REDDY GUDOORCredential: M.D.
Location Address6100 HARRIS PKWYFort Worth, TX 76132-4101
Mailing Address6161 S Yale AveTulsa, OK 74136-1902 · (918) 502-1900 · Fax (918) 494-6303
Phone(817) 433-5977
Fax(817) 433-5989
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 10, 2014
Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1174936892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V4915
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 32852 (OK)
6100 HARRIS PKWY, Fort Worth, TX 76132
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priyanka Reddy Gudoor 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 ID4587953831
PECOS Enrollment IDI20250721001620
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.

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.

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.
385 services133 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.
336 services149 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.
129 services127 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.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450779
Location6100 Harris PkwyFort Worth, TX 76132 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76132 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.08 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.

MRS. ANJANETTE OSTROM AGACNP-BC
Nurse Practitioner (Acute Care)
6100 HARRIS PKWY
FORT WORTH, TX 76132
Tarrant County (817) 433-5977
RAJKUMAR SOMASUNDARAM FNP-BC
Nurse Practitioner (Family)
6100 HARRIS PKWY
FORT WORTH, TX 76132
Tarrant County (490) 681-7820
HANSON INTERNAL MEDICINE, P.A.
Internal Medicine
6100 HARRIS PKWY, SUITE 240
FORT WORTH, TX 76132
Tarrant County (817) 504-5699
PAMELA J MAINOUS
Specialist/Technologist, Other (Surgical Assistant)
6100 HARRIS PKWY
FORT WORTH, TX 76132
Tarrant County (817) 346-5000
DEVEN EMMANUEL GULICK MD
Internal Medicine
6100 HARRIS PKWY
FORT WORTH, TX 76132
Tarrant County (817) 433-5977
GREGORY WAYNE HANSON M.D.
Internal Medicine
6100 HARRIS PKWY, SUITE 240
FORT WORTH, TX 76132
Tarrant County (817) 504-5699
LYNNE R TILKIN DO
Family Medicine
6100 HARRIS PKWY, STE 350
FORT WORTH, TX 76132
Tarrant County (817) 433-5580
DR. ILONA NEKHAYEVA MD., PHD
Family Medicine
6100 HARRIS PKWY
FORT WORTH, TX 76132
Tarrant County (817) 433-5977

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 Priyanka Reddy Gudoor's NPI number?

The NPI number for Priyanka Reddy Gudoor is 1174936892. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Priyanka Reddy Gudoor located?

Priyanka Reddy Gudoor practices at 6100 Harris Pkwy, Fort Worth, TX 76132. The listed phone number is (817) 433-5977.

What is Priyanka Reddy Gudoor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Priyanka Reddy Gudoor enrolled in Medicare?

Yes. Priyanka Reddy Gudoor 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.

What insurance does Priyanka Reddy Gudoor accept?

Health plans from Blue Cross and Blue Shield of Texas and Mending Health list Priyanka Reddy Gudoor 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 Priyanka Reddy Gudoor affiliated with any hospitals?

According to CMS data, Priyanka Reddy Gudoor is affiliated with Texas Health Harris Methodist Hospital Southwest F.

When was this NPI record last updated?

The NPPES record for Priyanka Reddy Gudoor was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.