MR. GAUTHAM REDDY KANDUKURI M.D.
NPI 1174979462
Radiology - Vascular & Interventional Radiology in Reedsport, OR

Active since May 05, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
PO BOX 343, REEDSPORT, OR 97467(816) 800-9020 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2025, Dec 12, 2024, Sep 13, 2022 (3 updates tracked since 2022).

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

NPI1174979462
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameMR. GAUTHAM REDDY KANDUKURICredential: M.D.
Location AddressPO BOX 343Reedsport, OR 97467-0343
Mailing Address2301 Holmes StreetKansas City, MO 64108 · (816) 404-4175
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 5, 2016
Last NPPES UpdateMay 15, 20253 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1174979462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses Licensed in OR · MD211277 Licensed in UT · 14217294-1205
Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

PO BOX 343, Reedsport, OR 97467

Secondary Practice Location 1

Location 11775 Thompson RdCoos Bay, OR 97420-2198 · Phone (541) 269-8111 · Fax (541) 269-8517

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.

PECOS PAC ID5890086680
PECOS Enrollment IDI20230104001879, I20241015002202, I20241020000002, I20241024004497, I20241114004417, I20250804002883
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 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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
533 services462 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
213 services203 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
135 services127 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
113 services113 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
107 services107 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
89 services89 patients

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, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Ed Fraser Memorial Hospital

Acute Care Hospitals · Macclenny, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100134
Location159 N 3rd StMacclenny, FL 32063 · Baker County
Emergency services

Mckenzie-Willamette Medical Center

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380020
Location1460 G StreetSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Memorial Hospital

Acute Care Hospitals · Gonzales, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450235
Location1110 North Sarah Dewitt DriveGonzales, TX 78629 · Gonzales County
Birthing friendly

Physician 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.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost100

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.