GOUTHAMI RATNA CHENNU
NPI 1265936827
Student in an Organized Health Care Education/Training Program in Newark, NJ

Q: What is Gouthami Chennu's NPI number?

The NPI number for Gouthami Chennu is 1265936827. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Gouthami Chennu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Gouthami Chennu was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment

201 LYONS AVENUE, NEWARK, NJ 07112(973) 926-7425(973) 926-6130 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2025, Jun 14, 2025, May 22, 2025 and 2 more (5 updates tracked since 2018).

On this page

About Gouthami Ratna Chennu NPPES

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

GOUTHAMI RATNA CHENNU (NPI 1265936827) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265936827

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameGOUTHAMI RATNA CHENNU

Location Address201 LYONS AVENUENewark, NJ 07112

Mailing Address201 Lyons AvenueNewark, NJ 07112 · (973) 926-7425 · Fax (973) 926-6130

Phone(973) 926-7425

Fax(973) 926-6130

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 20, 2018

Last NPPES UpdateMarch 28, 20185 updates tracked since enumeration

✔ NPI 1265936827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

201 LYONS AVENUE, Newark, NJ 07112

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1201 Lyons AvenueNewark, NJ 07112 · Phone (973) 926-7425 · Fax (973) 926-6130

Location 28006 Discovery Dr Ste 303Henrico, VA 23229-8600 · Phone (804) 554-0102

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

Gouthami Ratna Chennu 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 ID2365954286

PECOS Enrollment IDI20250625002281

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.

Hospital Affiliations CMS Care Compare 5

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490020

Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County

Emergency services

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490067

Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County

Emergency services Birthing friendly

Bon Secours Southampton Memorial Hospital

Acute Care Hospitals · Franklin, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490092

Location100 Fairview Drive - PO Box 817Franklin, VA 23851 · Franklin City County

Emergency services

Bon Secours Southern Virginia Medical Center

Acute Care Hospitals · Emporia, VA

OwnershipProprietary

CMS Certification Number490097

Location727 North Main StreetEmporia, VA 23847 · Emporia City County

Emergency services

Cjw Medical Center

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number490112

Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County

Emergency services

Leave this field empty

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.

FOLASHADE FARRI M.D., MPH

Pediatrics (Pediatric Pulmonology)

201 LYONS AVENUE, SUITE L5
NEWARK, NJ 07112

Essex County (973) 926-7280

BRIAN FAN LIN MD

Emergency Medicine

201 LYONS AVENUE
NEWARK, NJ 07112

Essex County (973) 926-6671

DR. NEIL ERIC SCHAMBAN MD

Emergency Medicine

201 LYONS AVENUE, NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112

Essex County (973) 926-7000

DR. SHELLEY AM JONES-DILLON MD

Emergency Medicine

201 LYONS AVENUE, NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112

Essex County (973) 926-7000

JOHN RICHARD MATJUCHA MD

Emergency Medicine

201 LYONS AVENUE, NEWARD BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112

Essex County (973) 926-7000

DR. HOWARD MICHAEL FRIEDLAND DO

Emergency Medicine

201 LYONS AVENUE, NEWARK BETH ISRAEL MEDICAL CENTER
NEWARD, NJ 07112

Essex County (973) 926-7000

DR. PATRICK BLAINE HINFEY MD

Emergency Medicine

201 LYONS AVENUE, NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112

Essex County (973) 926-7000

NEWARK BETH ISRAEL EMERGENCY ROOM DEPARTMENT

Emergency Medicine

201 LYONS AVENUE, NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112

Essex County (973) 926-7000

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 Gouthami Chennu's NPI number?

The NPI number for Gouthami Chennu is 1265936827. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Gouthami Chennu located?

Gouthami Chennu practices at 201 Lyons Avenue, Newark, NJ 07112. The listed phone number is (973) 926-7425.

What is Gouthami Chennu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gouthami Chennu enrolled in Medicare?

Yes. Gouthami Chennu 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.

Is Gouthami Chennu affiliated with any hospitals?

According to CMS data, Gouthami Chennu is affiliated with John Randolph Medical Center, Bon Secours Southside Medical Center, Bon Secours Southampton Memorial Hospital, Bon Secours Southern Virginia Medical Center and Cjw Medical Center.

When was this NPI record last updated?

The NPPES record for Gouthami Chennu was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.