PRATYUSHA REDDY GUDIPALLY MD
NPI 1205359403
Family Medicine in Richmond, VA

Q: What is Pratyusha Gudipally's NPI number?

The NPI number for Pratyusha Gudipally is 1205359403. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Q: What is Pratyusha Gudipally's specialty?

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

Active since July 19, 2017PECOS Enrolled

1712 E BROAD ST, RICHMOND, VA 23223(804) 344-9848 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2020, Jul 19, 2017 (2 updates tracked since 2017).

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About Pratyusha Reddy Gudipally Md NPPES

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

PRATYUSHA REDDY GUDIPALLY MD (NPI 1205359403) is an individual family medicine provider in Richmond, Virginia, licensed in Virginia (0101268212) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205359403

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NamePRATYUSHA REDDY GUDIPALLYCredential: MD

Location Address1712 E BROAD STRichmond, VA 23223-6930

Mailing Address1712 E Broad StRichmond, VA 23223-6930 · (804) 344-9848

Phone(804) 344-9848

Sole ProprietorYes

Enumeration DateJuly 19, 2017

Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration

NPPES CertifiedNovember 10, 2020

✔ NPI 1205359403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101268212

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.

1712 E BROAD ST, Richmond, VA 23223

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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)

Pratyusha Reddy Gudipally Md 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 23223 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK STEVEN GOTTLIEB D.O.

Family Medicine