RADHARANI S. GOLLAMUDI M.D.
NPI 1245287713
Internal Medicine in Daytona Beach, FL

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1630 MASON AVE STE C, DAYTONA BEACH, FL 32117(386) 238-9064(386) 238-9064 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Radharani S. Gollamudi M.d. NPPES

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

RADHARANI S. GOLLAMUDI M.D. (NPI 1245287713) is an individual internal medicine provider in Daytona Beach, Florida, licensed in Indiana (01072789A) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Deland, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1245287713
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRADHARANI S. GOLLAMUDICredential: M.D.
Location Address1630 MASON AVE STE CDaytona Beach, FL 32117-4503
Mailing Address1630 Mason Ave Ste CDaytona Beach, FL 32117-4503 · (386) 238-9064 · Fax (386) 238-9064
Fax(386) 238-9064
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 28, 2006
Last NPPES UpdateApril 7, 2026
NPPES CertifiedApril 7, 2026
NPI 1245287713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in IN · 01072789A Licensed in FL · ME109538 Licensed in NY · 238672
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1630 MASON AVE STE C, Daytona Beach, FL 32117

Other Identifiers 2

OtherFB967YFL · Medicare
Medicaid201173130IN

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

Radharani S. Gollamudi 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 ID547271652
PECOS Enrollment IDI20110701000152
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 11

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,275 services684 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,169 services396 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
655 services541 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
126 services115 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
96 services91 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
55 services45 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100072
Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier18 claims180 services$4.50 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier18 claims180 services$3.27 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier17 claims1,272 services$0.10 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
2 suppliers41 claims1,652 services$29.73 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers45 claims1,765 services$7.11 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims598 services$3.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Gerontology)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Registered Nurse (Wound Care)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Surgery
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Internal Medicine (Sleep Medicine)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Family Medicine
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Family Medicine
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Family)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Gerontology)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117

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 Radharani Gollamudi's NPI number?

The NPI number for Radharani Gollamudi is 1245287713. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Radharani Gollamudi located?

Radharani Gollamudi practices at 1630 Mason Ave Ste C, Daytona Beach, FL 32117. The listed phone number is (386) 238-9064.

What is Radharani Gollamudi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Radharani Gollamudi enrolled in Medicare?

Yes. Radharani Gollamudi 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 Radharani Gollamudi accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans list Radharani Gollamudi 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 Radharani Gollamudi affiliated with any hospitals?

According to CMS data, Radharani Gollamudi is affiliated with Adventhealth Deland and Adventhealth Fish Memorial.

When was this NPI record last updated?

The NPPES record for Radharani Gollamudi was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.