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KARTIKA GOURNENI M.D.
NPI 1376985663
Internal Medicine in Brockton, MA

Active since July 27, 2013PECOS EnrolledAccepts Medicare Assignment
680 CENTRE ST, BROCKTON, MA 02302(508) 941-7299 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2025, Mar 5, 2025, Sep 24, 2024 and 2 more (5 updates tracked since 2016).

About Kartika Gourneni M.d. NPPES

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

KARTIKA GOURNENI M.D. (NPI 1376985663) is an individual internal medicine provider in Brockton, Massachusetts, licensed in Massachusetts (267728) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376985663
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKARTIKA GOURNENICredential: M.D.
Location Address680 CENTRE STBrockton, MA 02302-3308
Mailing Address680 Centre StBrockton, MA 02302-3308 · (508) 941-7299
Phone(508) 941-7299
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 27, 2013
Last NPPES UpdateSeptember 3, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1376985663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 267728
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.
680 CENTRE ST, Brockton, MA 02302
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Secondary Practice Locations 2

Location 1235 North Pearl StBrockton, MA 02301 · Phone (508) 427-3000
Location 214 Prospect StMilford, MA 01757-3003 · Phone (508) 473-1190 · Fax (508) 482-5416

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health, WellSense Health Plan.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

Kartika Gourneni 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 ID8820310097
PECOS Enrollment IDI20161122000238
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

7

Medicare enrollment records show Kartika Gourneni reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Physicians Of Massachusetts Inc
Same address
Internal Medicine
680 CENTRE ST
Brockton, MA 02302
  • Reassigned Medicare billing, Massachusetts enrollment
  • 337 clinicians in this Medicare group
NPI 1740678408 (508) 941-7000
Bmc Affiliated Physicians, Inc.
18 mi
Internal Medicine
1 BOSTON MEDICAL CENTER PLACE
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 716 clinicians in this Medicare group
NPI 1245320910 (617) 789-3000
Sturdy Health Inc
18 mi
Hospitalist
211 PARK ST
Attleboro, MA 02703
  • Reassigned Medicare billing, Massachusetts enrollment
  • 63 clinicians in this Medicare group
NPI 1063866176 (508) 236-7901
Steward Medical Group, Inc
21 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474
Milford Regional Physician Group, Inc.
26 mi
Internal Medicine
9 INDUSTRIAL RD, SUITE 5
Milford, MA 01757
  • Reassigned Medicare billing, Massachusetts enrollment
  • 238 clinicians in this Medicare group
NPI 1902856024 (508) 473-1480
Southcoast Physicians Group, Inc.
31 mi
Emergency Medicine
208 MILL RD
Fairhaven, MA 02719
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,144 clinicians in this Medicare group
NPI 1861830143 (855) 319-0518
Umass Memorial Medical Group Inc
41 mi
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000

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 6

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.
455 services267 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.
172 services166 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services52 patients
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235
This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.
39 services39 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.
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.
17 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220111
Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02302 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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
1 supplier24 claims24 services$13.67 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers13 claims13 services$906.97 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers19 claims19 services$2.76 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
1 supplier24 claims24 services$62.86 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 20

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

LOUIS D. GOTTLIEB M.D.
Internal Medicine
680 CENTRE ST, MANAGED CARE
BROCKTON, MA 02302
Plymouth County (508) 941-7065
MS. JAMIE CHYAT PA-C
Physician Assistant
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7000
BRANDEN M TURNER LMHC
Counselor (Mental Health)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
CARLY ALEXANDRA CARLIN MD
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
DR. ANGEL TAYLOR MD
Student in an Organized Health Care Education/Training Program
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 974-7000
DR. DESIREE A CARLSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
680 CENTRE ST, PATHOLOGY DEPARTMENT
BROCKTON, MA 02302
Plymouth County (508) 941-7414
DEMIN MA M.D.
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
JENNIFER L. BUNKER
Social Worker
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7268

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 Kartika Gourneni's NPI number?

The NPI number for Kartika Gourneni is 1376985663. It was assigned to this individual provider in the NPPES registry on July 27, 2013.

Where is Kartika Gourneni located?

Kartika Gourneni practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (508) 941-7299.

What is Kartika Gourneni's specialty?

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

Is Kartika Gourneni enrolled in Medicare?

Yes. Kartika Gourneni 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 Kartika Gourneni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kartika Gourneni reassigns Medicare benefits to 7 organizations: Sound Physicians Of Massachusetts Inc (Brockton, MA), Bmc Affiliated Physicians, Inc. (Boston, MA), Sturdy Health Inc (Attleboro, MA), Steward Medical Group, Inc (Watertown, MA), Milford Regional Physician Group, Inc. (Milford, MA) and 2 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 Kartika Gourneni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kartika Gourneni accept?

Health plans from Taro Health and WellSense Health Plan list Kartika Gourneni 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 Kartika Gourneni affiliated with any hospitals?

According to CMS data, Kartika Gourneni is affiliated with Sturdy Memorial Hospital, Signature Healthcare Brockton Hospital, Milford Regional Medical Center, Good Samaritan Medical Center and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Kartika Gourneni was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.