MR. GAUTHAM REDDY KANDUKURI M.D.
NPI 1174979462
Radiology - Vascular & Interventional Radiology in Reedsport, OR
About Mr. Gautham Reddy Kandukuri M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GAUTHAM REDDY KANDUKURI M.D. (NPI 1174979462) is an individual vascular & interventional radiology provider in Reedsport, Oregon, licensed in Oregon (MD211277) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and maintains a secondary practice location in Coos Bay.
NPPES Registry Identity
Specialties & Licenses
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Secondary Practice Location 1
Accepted 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
Mr. Gautham Reddy Kandukuri 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.
Areas of Expertise CMS Part B claims 59
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Shands Jacksonville
Acute Care Hospitals · Jacksonville, FLEd Fraser Memorial Hospital
Acute Care Hospitals · Macclenny, FLMckenzie-Willamette Medical Center
Acute Care Hospitals · Springfield, ORBay Area Hospital
Acute Care Hospitals · Coos Bay, ORMemorial Hospital
Acute Care Hospitals · Gonzales, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Gautham Kandukuri's NPI number?
The NPI number for Gautham Kandukuri is 1174979462. It was assigned to this individual provider in the NPPES registry on May 5, 2016.
Where is Gautham Kandukuri located?
Gautham Kandukuri practices at PO Box 343, Reedsport, OR 97467. The listed phone number is (816) 800-9020.
What is Gautham Kandukuri's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Gautham Kandukuri enrolled in Medicare?
Yes. Gautham Kandukuri 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 Gautham Kandukuri accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Gautham Kandukuri 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 Gautham Kandukuri affiliated with any hospitals?
According to CMS data, Gautham Kandukuri is affiliated with Shands Jacksonville, Ed Fraser Memorial Hospital, Mckenzie-Willamette Medical Center, Bay Area Hospital and Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Gautham Kandukuri was last updated on May 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.