PRIDVI GAUTHAM KANDAGATLA M.D.
NPI 1346668555
Colon & Rectal Surgery in Saint Paul, MN

Q: What is Pridvi Kandagatla's NPI number?

The NPI number for Pridvi Kandagatla is 1346668555. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Q: What is Pridvi Kandagatla's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Pridvi Kandagatla was last updated on November 21, 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 April 03, 2014PECOS EnrolledAccepts Medicare Assignment

1983 SLOAN PL STE 11, SAINT PAUL, MN 55117(651) 312-1620(651) 312-1570 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2023, Jul 6, 2021 (2 updates tracked since 2021).

On this page

About Pridvi Gautham Kandagatla M.d. NPPES

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

PRIDVI GAUTHAM KANDAGATLA M.D. (NPI 1346668555) is an individual colon & rectal surgery provider in Saint Paul, Minnesota, licensed in Minnesota (71756) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Wayne State University School Of Medicine (2014).

NPPES Registry Identity

NPI1346668555

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NamePRIDVI GAUTHAM KANDAGATLACredential: M.D.

Location Address1983 SLOAN PL STE 11Saint Paul, MN 55117-2004

Mailing Address4200 Dahlberg Dr Ste 300Golden Valley, MN 55422-4841 · (952) 512-5600 · Fax (952) 512-5651

Phone(651) 312-1620

Fax(651) 312-1570

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2014

Enumeration DateApril 3, 2014

Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration

NPPES CertifiedNovember 21, 2023

✔ NPI 1346668555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in MN · 71756

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

1983 SLOAN PL STE 11, Saint Paul, MN 55117

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.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

Pridvi Gautham Kandagatla 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 ID4981829850

PECOS Enrollment IDI20220806000730, I20251120000485

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

Medicare enrollment records show Pridvi Kandagatla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minnesota Oncology Hematology, PA

3.2 mi

Hematology & Oncology

1580 BEAM AVE
Maplewood, MN 55109

Reassigned Medicare billing, Minnesota and Wisconsin enrollments
Also billed through NPI 1528035995 (Wisconsin)
128 clinicians in this Medicare group

NPI 1376686774 (651) 779-7978

Fairview Express Care

3.4 mi

Neurology

1650 BEAM AVE STE 200
Maplewood, MN 55109

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1902311210 (651) 221-9051

Fairview Health Services

7.7 mi

General Acute Care Hospital

2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1316008212 (612) 273-7838

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 11

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

21 services21 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.

20 services16 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

17 services17 patients

Single contrast x-ray of large intestine 74270

A single contrast x-ray of the large intestine involves the use of a special dye and x-rays to visualize your large intestine. The dye helps highlight areas of concern on the x-ray, providing a clear image of your intestinal health.

17 services17 patients

Test for tone and sensation of rectum and anus 91120

This procedure checks the health of the lower digestive tract. The doctor gently examines the area to assess its muscle strength and sensitivity. This helps in detecting any abnormal conditions. It's a standard, safe procedure with minimal discomfort.

17 services17 patients

Study of rectum sensitivity and function 91122

This procedure examines the rectum's sensitivity and functionality. It involves a small, soft balloon inserted into the rectum and inflated to various degrees. The goal is to assess how well your rectum can sense and respond to different volumes. It's a crucial test for diagnosing certain digestive issues.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services14 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

14 services13 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

14 services14 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240038

Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County

Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240207

Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County

Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240210

Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55117 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 2

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

DR. ANEEL DAMLE MD

Colon & Rectal Surgery

1983 SLOAN PL STE 11
SAINT PAUL, MN 55117

Ramsey County (651) 312-1620

DULCEY AMAIA VAN CALLIGAN PA-C

Physician Assistant

1983 SLOAN PL STE 11
SAINT PAUL, MN 55117

Ramsey County (651) 312-1620

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 Pridvi Kandagatla's NPI number?

The NPI number for Pridvi Kandagatla is 1346668555. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Pridvi Kandagatla located?

Pridvi Kandagatla practices at 1983 Sloan Pl Ste 11, Saint Paul, MN 55117. The listed phone number is (651) 312-1620.

What is Pridvi Kandagatla's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Pridvi Kandagatla enrolled in Medicare?

Yes. Pridvi Kandagatla 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 Pridvi Kandagatla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pridvi Kandagatla reassigns Medicare benefits to 3 organizations: Minnesota Oncology Hematology, PA (Maplewood, MN), Fairview Express Care (Maplewood, MN) and Fairview Health Services (Minneapolis, MN). 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 Pridvi Kandagatla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pridvi Kandagatla accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Pridvi Kandagatla 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 Pridvi Kandagatla affiliated with any hospitals?

According to CMS data, Pridvi Kandagatla is affiliated with Allina United Hospital, Abbott Northwestern Hospital, M Health Fairview Ridges Hospital and M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Pridvi Kandagatla was last updated on November 21, 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.