GOUTHAMI RATNA CHENNU
NPI 1265936827
Student in an Organized Health Care Education/Training Program in Newark, NJ
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
Specialties & Licenses
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Gouthami Chennu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Henrico, VA 23229
- Reassigned Medicare billing, Virginia enrollment
- 11 clinicians in this Medicare group
Colonial Heights, VA 23834
- Reassigned Medicare billing, Virginia enrollment
- 46 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.
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, VABon Secours Southside Medical Center
Acute Care Hospitals · Petersburg, VABon Secours Southampton Memorial Hospital
Acute Care Hospitals · Franklin, VABon Secours Southern Virginia Medical Center
Acute Care Hospitals · Emporia, VACjw Medical Center
Acute Care Hospitals · Richmond, VAOther Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07112
NEWARK, NJ 07112
NEWARK, NJ 07112
NEWARK, NJ 07112
NEWARD, NJ 07112
NEWARK, NJ 07112
NEWARK, NJ 07112
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.
Which organizations bill Medicare for Gouthami Chennu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gouthami Chennu reassigns Medicare benefits to 2 organizations: Aligned Interventional Center (Henrico, VA) and James River Cardiology, LLC (Colonial Heights, 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 Gouthami Chennu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Gouthami Ratna Chennu · NPI 1265936827
Student in an Organized Health Care Education/Training Program provider in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since March 20, 2018.
## Identity
- **NPI:** 1265936827 (Entity type: Individual)
- **Enumerated:** March 20, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 201 LYONS AVENUE, Newark, NJ 07112
- **Phone:** (973) 926-7425 · **Fax:** (973) 926-6130
## 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): Aligned Interventional Center (NPI 1881473247, Henrico, VA); James River Cardiology, LLC (NPI 1407157647, Colonial Heights, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1265936827) · Data from the CMS NPPES public registry.