LALITHA GUDIPATY MD
NPI 1225296122
Internal Medicine - Endocrinology, Diabetes & Metabolism in Philadelphia, PA
About Lalitha Gudipaty Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LALITHA GUDIPATY MD (NPI 1225296122) is an individual endocrinology, diabetes & metabolism provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD449084) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
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
Lalitha Gudipaty 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lalitha Gudipaty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Abingdon, MD 21009
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1952461816 (District of Columbia)
- 1,253 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia enrollment
- 1,534 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 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
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Lalitha Gudipaty's NPI number?
The NPI number for Lalitha Gudipaty is 1225296122. It was assigned to this individual provider in the NPPES registry on May 28, 2008.
Where is Lalitha Gudipaty located?
Lalitha Gudipaty practices at 3400 Civic Center Blvd Pcam 4 West, Philadelphia, PA 19104. The listed phone number is (215) 662-2300.
What is Lalitha Gudipaty's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Lalitha Gudipaty enrolled in Medicare?
Yes. Lalitha Gudipaty 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 Lalitha Gudipaty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lalitha Gudipaty reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Abingdon, MD) and Privia Medical Group, LLC (Arlington, VA). 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 Lalitha Gudipaty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lalitha Gudipaty was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Lalitha Gudipaty, MD · NPI 1225296122
Endocrinology, Diabetes & Metabolism physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 28, 2008.
## Identity
- **NPI:** 1225296122 (Entity type: Individual)
- **Enumerated:** May 28, 2008
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** MD449084 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 CIVIC CENTER BLVD, PCAM 4 WEST, Philadelphia, PA 19104
- **Phone:** (215) 662-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1265971873, Abingdon, MD); Privia Medical Group, LLC (NPI 1013042480, Arlington, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** February 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1225296122) · Data from the CMS NPPES public registry.