SUBHAKAR GUMMADI MD
NPI 1225014046
Internal Medicine in Baton Rouge, LA
About Subhakar Gummadi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUBHAKAR GUMMADI MD (NPI 1225014046) is an individual internal medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (13874R) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Subhakar Gummadi Md 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 9
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baton Rouge General Medical Center
Acute Care Hospitals · Baton Rouge, LAThe General
Acute Care Hospitals · Baton Rouge, LAWest Feliciana Parish Hospital
Critical Access Hospitals · Saint Francisville, LAPointe Coupee General Hospital
Critical Access Hospitals · New Roads, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70806 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
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 Subhakar Gummadi's NPI number?
The NPI number for Subhakar Gummadi is 1225014046. It was assigned to this individual provider in the NPPES registry on December 22, 2005.
Where is Subhakar Gummadi located?
Subhakar Gummadi practices at 3600 Florida Blvd, Baton Rouge, LA 70806. The listed phone number is (225) 387-7070.
What is Subhakar Gummadi's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Subhakar Gummadi enrolled in Medicare?
Yes. Subhakar Gummadi 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 Subhakar Gummadi accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and HMO Louisiana and 1 other insurer list Subhakar Gummadi 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 Subhakar Gummadi affiliated with any hospitals?
According to CMS data, Subhakar Gummadi is affiliated with Baton Rouge General Medical Center, The General, West Feliciana Parish Hospital and Pointe Coupee General Hospital.
When was this NPI record last updated?
The NPPES record for Subhakar Gummadi was last updated on August 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.
