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PADMA PRIYA GUMMADI MD
NPI 1326563453
Internal Medicine in Omaha, NE

Active since August 09, 2017PECOS EnrolledAccepts Medicare Assignment
7710 MERCY RD STE 202, OMAHA, NE 68124(402) 280-4392 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 9, 2017 (2 updates tracked since 2017).

About Padma Priya Gummadi Md NPPES

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

PADMA PRIYA GUMMADI MD (NPI 1326563453) is an individual internal medicine provider in Omaha, Nebraska, licensed in Nebraska (7975) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2015).

NPPES Registry Identity

NPI1326563453
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePADMA PRIYA GUMMADICredential: MD
Location Address7710 MERCY RD STE 202Omaha, NE 68124-2353
Mailing Address7710 Mercy Road, Suite 202 - Cu Department Of Internal MedicineOmaha, NE 68124-2353 · (402) 280-4392
Phone(402) 280-4392
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2015
Enumeration DateAugust 9, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1326563453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NE · 7975
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.
7710 MERCY RD STE 202, Omaha, NE 68124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, HMO Louisiana, Medica 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

Padma Priya Gummadi 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 ID3173940798
PECOS Enrollment IDI20230731002206
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 5

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 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.
425 services164 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.
157 services86 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
136 services134 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.
84 services83 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Chi Health Immanuel

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280081
Location6901 North 72nd StOmaha, NE 68122 · Douglas County
Emergency services Birthing friendly

Chi Health Midlands

Acute Care Hospitals · Papillion, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number280105
Location11111 South 84th StPapillion, NE 68046 · Sarpy County
Emergency services

Memorial Community Hospital & Health System

Critical Access Hospitals · Blair, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281359
Location810 North 22nd StBlair, NE 68008 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68124 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 20

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

JENNIFER MARIE BURGART MD
Obstetrics & Gynecology
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4438
THEODORE NGUYEN MD
Internal Medicine
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4392
MANMEET SINGH SAHNI MD
Family Medicine
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4318
ANYSHA KAUR MATTU MD
Family Medicine
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4318
DR. STEPHEN PAUL TOTH MD
Hospitalist
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4392
NAIMAT ULLAH ABDUL RAHIM MBBS
Internal Medicine
7710 MERCY RD STE 202, CU DEPARTMENT OF INTERNAL MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4210
DR. KEVIN MICHAEL MCMAHON MD
Surgery
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4669
MATTHEW DALE MD, PHD
Surgery
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 717-4900

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 Padma Priya Gummadi's NPI number?

The NPI number for Padma Priya Gummadi is 1326563453. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Where is Padma Priya Gummadi located?

Padma Priya Gummadi practices at 7710 Mercy Rd Ste 202, Omaha, NE 68124. The listed phone number is (402) 280-4392.

What is Padma Priya Gummadi's specialty?

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

Is Padma Priya Gummadi enrolled in Medicare?

Yes. Padma Priya Gummadi 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 Padma Priya Gummadi accept?

Health plans from Blue Cross and Blue Shield of Nebraska, HMO Louisiana, Medica and Oscar Insurance Company list Padma Priya Gummadi 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 Padma Priya Gummadi affiliated with any hospitals?

According to CMS data, Padma Priya Gummadi is affiliated with Chi Health Bergan Mercy, Chi Health Immanuel, Chi Health Midlands and Memorial Community Hospital & Health System.

When was this NPI record last updated?

The NPPES record for Padma Priya Gummadi was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.