MRS. ARUNA C GOWDA M.D.
NPI 1407070576
Internal Medicine - Hematology & Oncology in Newark, OH

Active since April 12, 2007PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
1320 WEST MAIN STREET, NEWARK, OH 43055(220) 564-4475(220) 564-4412 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2023, Sep 13, 2016 (2 updates tracked since 2016).

About Mrs. Aruna C Gowda M.d. NPPES

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

MRS. ARUNA C GOWDA M.D. (NPI 1407070576) is an individual hematology & oncology provider in Newark, Ohio, licensed in Ohio (35-084512) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1407070576
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameMRS. ARUNA C GOWDACredential: M.D.
Location Address1320 WEST MAIN STREETNewark, OH 43055
Mailing Address1320 West Main StreetNewark, OH 43055 · (220) 564-4475 · Fax (220) 564-4412
Fax(220) 564-4412
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 12, 2007
Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration
NPI 1407070576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in OH · 35-084512 Licensed in OH · 35084512
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.084512 (OH)
1320 WEST MAIN STREET, Newark, OH 43055

Secondary Practice Location 1

Location 11320 W Main StNewark, OH 43055-1822 · Phone (220) 564-4412

Other Identifiers 1

Medicaid2748352OH

Accepted 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

Mrs. Aruna C Gowda 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 ID3274520291
PECOS Enrollment IDI20070830000460
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 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.

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.
192 services158 patients
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.
156 services104 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
123 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 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.
23 services21 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

Referred Medical Equipment & Supplies CMS DME claims 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier24 claims2,306 services$0.62 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier21 claims22 services$11.51 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 15

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

Anesthesiology
1320 WEST MAIN STREET
NEWARK, OH 43055
Nurse Anesthetist, Certified Registered
1320 WEST MAIN STREET
NEWARK, OH 43055
Anesthesiology (Pain Medicine)
1320 WEST MAIN STREET
NEWARK, OH 43055
Internal Medicine (Pulmonary Disease)
1320 WEST MAIN STREET
NEWARK, OH 43055
Anesthesiology
1320 WEST MAIN STREET
NEWARK, OH 43055
Anesthesiology
1320 WEST MAIN STREET
NEWARK, OH 43055
Anesthesiology
1320 WEST MAIN STREET
NEWARK, OH 43055
Nurse Practitioner
1320 WEST MAIN STREET
NEWARK, OH 43055

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 Aruna Gowda's NPI number?

The NPI number for Aruna Gowda is 1407070576. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Aruna Gowda located?

Aruna Gowda practices at 1320 West Main Street, Newark, OH 43055. The listed phone number is (220) 564-4475.

What is Aruna Gowda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Aruna Gowda enrolled in Medicare?

Yes. Aruna Gowda 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 Aruna Gowda accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Aruna Gowda 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 Aruna Gowda affiliated with any hospitals?

According to CMS data, Aruna Gowda is affiliated with Ohio State University State Health System and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Aruna Gowda was last updated on March 24, 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.