PRAVEENA GANDIKOTA MD
NPI 1285849513
Internal Medicine - Endocrinology, Diabetes & Metabolism in Upland, PA
About Praveena Gandikota Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAVEENA GANDIKOTA MD (NPI 1285849513) is an individual endocrinology, diabetes & metabolism provider in Upland, Pennsylvania, licensed in Pennsylvania (MD440569) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Praveena Gandikota 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
3Medicare enrollment records show Praveena Gandikota reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chester, PA 19013
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 clinicians in this Medicare group
Philadelphia, PA 19131
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,205 clinicians in this Medicare group
Conshohocken, PA 19428
- Reassigned Medicare billing, Pennsylvania enrollment
- 192 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPaoli Hospital
Acute Care Hospitals · Paoli, PAMain Line Hospital Lankenau
Acute Care Hospitals · Wynnewood, PARiddle Memorial Hospital
Acute Care Hospitals · Media, PAEinstein Medical Center Montgomery
Acute Care Hospitals · East Norriton, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 10
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.
UPLAND, PA 19013
UPLAND, PA 19013
UPLAND, PA 19013
UPLAND, PA 19013
UPLAND, PA 19013
UPLAND, PA 19013
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 Praveena Gandikota's NPI number?
The NPI number for Praveena Gandikota is 1285849513. It was assigned to this individual provider in the NPPES registry on May 11, 2007.
Where is Praveena Gandikota located?
Praveena Gandikota practices at One Medical Center Blvd Suite 424, Upland, PA 19013. The listed phone number is (610) 338-1820.
What is Praveena Gandikota's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Praveena Gandikota enrolled in Medicare?
Yes. Praveena Gandikota 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 Praveena Gandikota's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Praveena Gandikota reassigns Medicare benefits to 3 organizations: Prospect Health Access Network, Inc. (Chester, PA), Einstein Practice Plan Inc (Philadelphia, PA) and Fornance Physician Services, Inc (Conshohocken, PA). 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 Praveena Gandikota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Praveena Gandikota accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Praveena Gandikota 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 Praveena Gandikota affiliated with any hospitals?
According to CMS data, Praveena Gandikota is affiliated with Hospital Of Univ Of Pennsylvania, Paoli Hospital, Main Line Hospital Lankenau, Riddle Memorial Hospital and Einstein Medical Center Montgomery.
When was this NPI record last updated?
The NPPES record for Praveena Gandikota was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Praveena Gandikota, MD · NPI 1285849513
Endocrinology, Diabetes & Metabolism physician in Upland, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 11, 2007.
## Identity
- **NPI:** 1285849513 (Entity type: Individual)
- **Enumerated:** May 11, 2007
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** MD440569 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** ONE MEDICAL CENTER BLVD, SUITE 424, Upland, PA 19013
- **Phone:** (610) 338-1820 · **Fax:** (610) 338-1825
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Prospect Health Access Network, Inc. (NPI 1013364520, Chester, PA); Einstein Practice Plan Inc (NPI 1144272733, Philadelphia, PA); Fornance Physician Services, Inc (NPI 1437104296, Conshohocken, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** October 29, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1285849513) · Data from the CMS NPPES public registry.