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PRAVEEN GANGAVARAPU M.D.
NPI 1336704634
Internal Medicine in Pittsburgh, PA

Active since May 02, 2019PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
9100 BABCOCK BLVD, PITTSBURGH, PA 15237(412) 367-6700 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2023, Dec 31, 2019, May 2, 2019 (3 updates tracked since 2019).

About Praveen Gangavarapu M.d. NPPES

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

PRAVEEN GANGAVARAPU M.D. (NPI 1336704634) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD478213) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Upmc East, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1336704634
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRAVEEN GANGAVARAPUCredential: M.D.
Location Address9100 BABCOCK BLVDPittsburgh, PA 15237-5815
Mailing Address3600 Forbes Avenue, Forbes Tower - Plaza Level Suite 140Pittsburgh, PA 15213
Phone(412) 367-6700
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 2, 2019
Last NPPES UpdateJanuary 13, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1336704634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD478213
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.
9100 BABCOCK BLVD, Pittsburgh, PA 15237
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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

Praveen Gangavarapu 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 ID2668709908
PECOS Enrollment IDI20220630003060
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 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.

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.
504 services160 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.
116 services109 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.
39 services38 patients

Hospital Affiliations CMS Care Compare

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

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15237 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

ANTOINE WADIH M.D.
Radiology (Diagnostic Radiology)
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Allegheny County (412) 367-6700
ANDREA NAYLOR RD
Dietitian, Registered
9100 BABCOCK BLVD, SUITE 3020
PITTSBURGH, PA 15237
Allegheny County (412) 748-6468
KATHERINE MCGOVERN
Speech-Language Pathologist
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Allegheny County (412) 748-4149
MRS. ANDREA DAWSON WARD BSCPT
Physical Therapist
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Allegheny County (412) 367-6452
SUSAN HARKE CRNA
Nurse Anesthetist, Certified Registered
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Allegheny County (412) 367-6700
CATHY ZAMBA CRNA
Nurse Anesthetist, Certified Registered
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Allegheny County (412) 367-6700
UPMC PASSAVANT
Rehabilitation Unit
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Allegheny County (412) 432-5500
MARISA C EWING OT
Occupational Therapist
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Allegheny County (412) 367-6450

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 Praveen Gangavarapu's NPI number?

The NPI number for Praveen Gangavarapu is 1336704634. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Praveen Gangavarapu located?

Praveen Gangavarapu practices at 9100 Babcock Blvd, Pittsburgh, PA 15237. The listed phone number is (412) 367-6700.

What is Praveen Gangavarapu's specialty?

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

Is Praveen Gangavarapu enrolled in Medicare?

Yes. Praveen Gangavarapu 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 Praveen Gangavarapu affiliated with any hospitals?

According to CMS data, Praveen Gangavarapu is affiliated with Upmc East.

When was this NPI record last updated?

The NPPES record for Praveen Gangavarapu was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.