DR. BHASKAR GUNDABOLU M.D.
NPI 1346458767
Internal Medicine - Endocrinology, Diabetes & Metabolism in Toledo, OH

Q: What is Bhaskar Gundabolu's NPI number?

The NPI number for Bhaskar Gundabolu is 1346458767. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Bhaskar Gundabolu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Bhaskar Gundabolu was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment

88.18/100

CMS Quality Rating

2100 W CENTRAL AVE, SUITE 100, TOLEDO, OH 43606(419) 537-5111(419) 537-5131 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Bhaskar Gundabolu M.d. NPPES

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

DR. BHASKAR GUNDABOLU M.D. (NPI 1346458767) is an individual endocrinology, diabetes & metabolism provider in Toledo, Ohio, licensed in Ohio (35088652) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1346458767

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. BHASKAR GUNDABOLUCredential: M.D.

Location Address2100 W CENTRAL AVE, SUITE 100Toledo, OH 43606-3834

Mailing Address2100 W Central Ave, Suite 100Toledo, OH 43606-3834 · (419) 537-5111 · Fax (419) 537-5131

Phone(419) 537-5111

Fax(419) 537-5131

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 18, 2007

Last NPPES UpdateNovember 3, 2023

✔ NPI 1346458767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in OH · 35088652

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

2100 W CENTRAL AVE, Toledo, OH 43606

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Other Identifiers 6

Other9567063OH · Aetna

Other6870OH · Paramount

Medicaid2831243OH

Other66501560001OH · Medical Mutual

Other751132OH · Buckeye

Other000000541140OH · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Bhaskar Gundabolu 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 ID8921195496

PECOS Enrollment IDI20071031000003

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

958 services610 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

488 services310 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

279 services159 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

124 services116 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

92 services83 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

42 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230005

Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360156

Location715 South Taft AvenueFremont, OH 43420 · Sandusky County

Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360259

Location2801 Bay Park DriveOregon, OH 43616 · Lucas County

Emergency services Birthing friendly

Promedica Defiance Regional Hospital

Critical Access Hospitals · Defiance, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361328

Location1200 Ralston AvenueDefiance, OH 43512 · Defiance County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

88.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

85.93

Improvement Activities

Cost

79.37

Reported Quality Measures

Controlling High Blood Pressure

73%1,107 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

41%1,020 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

5%1,020 patients5/55-star benchmark: 91%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

33%2,254 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

41%1,608 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 94% · 1,060 patients

Patients screened: 99% · 1,060 patients

37%82 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%1,257 patients4/55-star benchmark: 91%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

7 suppliers42 claims542 services$18.80 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

7 suppliers42 claims1,305 services$2.37 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

63 suppliers231 claims940 services$6.07 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

32 suppliers73 claims128 services$1.12 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

4 suppliers12 claims24 services$48.58 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

5 suppliers39 claims39 services$317.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

UMBERTO BATTISTIN

Student in an Organized Health Care Education/Training Program