Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAKESH GADDAM M.D.
NPI 1306100375
Internal Medicine in Mesa, AZ

Active since June 25, 2012PECOS EnrolledAccepts Medicare Assignment
70.3/100
CMS Quality Rating
5358 E BASELINE RD, MESA, AZ 85206(602) 748-9187(602) 748-9187 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Dec 31, 2018, Apr 1, 2016 (3 updates tracked since 2016).

About Rakesh Gaddam M.d. NPPES

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

RAKESH GADDAM M.D. (NPI 1306100375) is an individual internal medicine provider in Mesa, Arizona, licensed in Arizona (50089) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1306100375
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAKESH GADDAMCredential: M.D.
Location Address5358 E BASELINE RDMesa, AZ 85206-4716
Mailing Address5358 E Baseline RdMesa, AZ 85206-4716 · (602) 748-9187 · Fax (602) 748-9187
Fax(602) 748-9187
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 25, 2012
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1306100375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 50089
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.
Also ListedHospitalistTaxonomy 208M00000X · License 50089 (AZ)
5358 E BASELINE RD, Mesa, AZ 85206

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

Rakesh Gaddam 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 ID7911215900
PECOS Enrollment IDI20150924000742
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Rakesh Gaddam reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
Internal Medicine
6644 E BAYWOOD AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 46 clinicians in this Medicare group
Clinic/Center
3048 E BASELINE RD STE 122
Mesa, AZ 85204
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
Internal Medicine
3048 E BASELINE RD STE 122
Mesa, AZ 85204
  • Reassigned Medicare billing, Arizona enrollment
  • 78 clinicians in this Medicare group
Internal Medicine
475 S DOBSON RD
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 120 clinicians in this Medicare group
Oncology
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 470 clinicians in this Medicare group
Hospitalist
19829 N 27TH AVE
Phoenix, AZ 85027
  • Reassigned Medicare billing, Arizona enrollment
  • 99 clinicians in this Medicare group
Primary Care
1325 N LITCHFIELD RD STE 110
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
  • 38 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 9

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 moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,933 services201 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,625 services322 patients
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.
238 services123 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.
205 services186 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.
125 services121 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
104 services104 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

70.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality40.27
Improvement Activities40
Cost71.99

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$12.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers53 claims53 services$63.67 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers44 claims44 services$32.81 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier978 claims4,883 services$173.78 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 11

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

Physical Therapist (Geriatrics)
5358 E BASELINE RD
MESA, AZ 85206
Speech-Language Pathologist
5358 E BASELINE RD
MESA, AZ 85206
Speech-Language Pathologist
5358 E BASELINE RD
MESA, AZ 85206
Occupational Therapy Assistant
5358 E BASELINE RD
MESA, AZ 85206
Speech-Language Pathologist
5358 E BASELINE RD
MESA, AZ 85206
Skilled Nursing Facility
5358 E BASELINE RD
MESA, AZ 85206
Physical Therapist
5358 E BASELINE RD
MESA, AZ 85206
Speech-Language Pathologist
5358 E BASELINE RD
MESA, AZ 85206

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 Rakesh Gaddam's NPI number?

The NPI number for Rakesh Gaddam is 1306100375. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is Rakesh Gaddam located?

Rakesh Gaddam practices at 5358 E Baseline Rd, Mesa, AZ 85206. The listed phone number is (602) 748-9187.

What is Rakesh Gaddam's specialty?

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

Is Rakesh Gaddam enrolled in Medicare?

Yes. Rakesh Gaddam 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 Rakesh Gaddam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rakesh Gaddam reassigns Medicare benefits to 8 organizations: Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ), Allied Internal Medicine PLLC (Mesa, AZ), New Vida Medical LLC (Mesa, AZ), Hope Diabetes Center, LLC (Mesa, AZ), Pioneer Hospitalists, PLLC (Chandler, AZ) and 3 more organizations, listed in the Medicare section above. 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 Rakesh Gaddam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rakesh Gaddam accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Rakesh Gaddam 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.

When was this NPI record last updated?

The NPPES record for Rakesh Gaddam was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.