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DR. TARIKU TADELE GUDURA MD
NPI 1255861001
Internal Medicine - Nephrology in Charleroi, PA

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment
17 ARENTZEN BLVD STE 204, CHARLEROI, PA 15022(724) 489-0220(724) 489-0855 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2024, Jun 14, 2021, May 10, 2021 and 4 more (7 updates tracked since 2017).

About Dr. Tariku Tadele Gudura Md NPPES

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

DR. TARIKU TADELE GUDURA MD (NPI 1255861001) is an individual nephrology provider in Charleroi, Pennsylvania, licensed in Pennsylvania (MD484066) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255861001
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. TARIKU TADELE GUDURACredential: MD
Location Address17 ARENTZEN BLVD STE 204Charleroi, PA 15022-1085
Mailing Address575 Coal Valley Rd Ste 204Clairton, PA 15025-3724 · (412) 466-2220 · Fax (412) 466-4048
Phone(724) 489-0220
Fax(724) 489-0855
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 14, 2017
Last NPPES UpdateAugust 6, 20247 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1255861001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD484066
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.070266 (IL), 01084186A (IN)
Also ListedHospitalistTaxonomy 208M00000X · License 036152123 (IL)
17 ARENTZEN BLVD STE 204, Charleroi, PA 15022
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Secondary Practice Locations 2

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 962-2000
Location 2575 Coal Valley Rd Ste 204Clairton, PA 15025-3724 · Phone (724) 489-0220 · Fax (412) 466-4048

Other Identifiers 1

Medicaid1043201090001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Tariku Tadele Gudura 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.

PECOS PAC ID2668773268
PECOS Enrollment IDI20240514000206, I20250620003238
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 4

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
131 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15022 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 2

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

MRS. GINA MARIE CROSS CRNP
Nurse Practitioner
17 ARENTZEN BLVD STE 204
CHARLEROI, PA 15022
Washington County (724) 489-0220
SUDHA M NAYAR M.D.
Internal Medicine (Nephrology)
17 ARENTZEN BLVD STE 204
CHARLEROI, PA 15022
Washington County (724) 489-0220

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 Tariku Gudura's NPI number?

The NPI number for Tariku Gudura is 1255861001. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Tariku Gudura located?

Tariku Gudura practices at 17 Arentzen Blvd Ste 204, Charleroi, PA 15022. The listed phone number is (724) 489-0220.

What is Tariku Gudura's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Tariku Gudura enrolled in Medicare?

Yes. Tariku Gudura 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 Tariku Gudura accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, CareSource and Oscar Insurance Corporation of Ohio list Tariku Gudura 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 Tariku Gudura affiliated with any hospitals?

According to CMS data, Tariku Gudura is affiliated with Akron General Medical Center, Cleveland Clinic, Uniontown Hospital, Penn Highlands Mon Valley and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Tariku Gudura was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.