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
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
15Medicare enrollment records show Gautham Kandukuri reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Coos Bay, OR 97420
- Reassigned Medicare billing, Michigan, New Jersey and Texas enrollments
Coos Bay, OR 97420
- Reassigned Medicare billing, Florida, Michigan, New Jersey and Texas enrollments
- 9 clinicians in this Medicare group
Washington Terrace, UT 84405
- Reassigned Medicare billing, Utah enrollment
- Also billed through NPI 1215001037 (Utah)
- 46 clinicians in this Medicare group
Dodge City, KS 67801
- Reassigned Medicare billing, Kansas enrollment
- 37 clinicians in this Medicare group
Dimmitt, TX 79027
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1033118716 (Texas)
- 45 clinicians in this Medicare group
Van Horn, TX 79855
- Reassigned Medicare billing, Texas enrollment
- 27 clinicians in this Medicare group
Coleman, TX 76834
- Reassigned Medicare billing, Texas enrollment
- 27 clinicians in this Medicare group
Junction, TX 76849
- Reassigned Medicare billing, Texas enrollment
- 26 clinicians in this Medicare group
Gonzales, TX 78629
- Reassigned Medicare billing, Texas enrollment
- 58 clinicians in this Medicare group
Pineland, TX 75968
- Reassigned Medicare billing, Texas enrollment
- 26 clinicians in this Medicare group
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 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, FLMclaren Bay Region
Acute Care Hospitals · Bay City, MIMckenzie-Willamette Medical Center
Acute Care Hospitals · Springfield, ORBay Area Hospital
Acute Care Hospitals · Coos Bay, ORPhysician 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.
Which organizations bill Medicare for Gautham Kandukuri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gautham Kandukuri reassigns Medicare benefits to 15 organizations: Inspire Radiology Group 2 LLC (Coos Bay, OR), Inspire Radiology Group LLC (Coos Bay, OR), Kane County Human Resource Special Service District (Washington Terrace, UT), Minneola District Hospital Nbr 2 (Dodge City, KS), Castro County Hospital District (Dimmitt, TX) and 10 more organizations, listed in the Medicare section above. 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 Gautham Kandukuri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gautham Kandukuri accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 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, Mclaren Bay Region, Mckenzie-Willamette Medical Center and Bay Area Hospital.
When was this NPI record last updated?
The NPPES record for Gautham Kandukuri was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.