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DR. SUJAN GOGU D.O.
NPI 1407268162
Family Medicine - Sports Medicine in Mcallen, TX

Active since May 28, 2014PECOS EnrolledAccepts Medicare Assignment
82.78/100
CMS Quality Rating
1000 E DOVE AVE STE 200, MCALLEN, TX 78504(956) 362-3530(956) 362-3531 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2023, May 17, 2021, Nov 14, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Sujan Gogu D.o. NPPES

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

DR. SUJAN GOGU D.O. (NPI 1407268162) is an individual sports medicine provider in Mcallen, Texas, licensed in Texas (R0401) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and maintains a secondary practice location in Edinburg.

NPPES Registry Identity

NPI1407268162
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. SUJAN GOGUCredential: D.O.
Location Address1000 E DOVE AVE STE 200Mcallen, TX 78504-3974
Mailing AddressPo Box 4624Mcallen, TX 78502-4624 · (956) 362-3530 · Fax (956) 362-3531
Phone(956) 362-3530
Fax(956) 362-3531
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 28, 2014
Last NPPES UpdateOctober 19, 20234 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1407268162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in TX · R0401
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License R0401 (TX)
1000 E DOVE AVE STE 200, Mcallen, TX 78504
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Secondary Practice Location 1

Location 14302 S Sugar Rd Ste 100Edinburg, TX 78539-9140 · Phone (956) 420-3311 · Fax (956) 229-6182

Other Identifiers 2

Other731012TX · Medicare
Other1N6372TX · Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Sujan Gogu D.o. 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 ID8729357116
PECOS Enrollment IDI20180912001243
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

3

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

Renaissance Providers
0.3 mi
Orthopaedic Surgery
5501 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
NPI 1336577477 (956) 362-2171
Goodside Health Medical, PLLC
462 mi
Primary Care
3400 TEXAS SAGE TRL STE 148
Fort Worth, TX 76177
  • Reassigned Medicare billing, Texas enrollment
  • 21 clinicians in this Medicare group
NPI 1548999451 (682) 312-6783
Southwest Medical Associates, Inc.
537 mi
Emergency Medicine
1207 S BAILEY ST
Electra, TX 76360
  • Reassigned Medicare billing, Texas enrollment
  • 155 clinicians in this Medicare group
NPI 1831299122 (940) 495-3981

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 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.
191 services79 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.
78 services78 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
28 services15 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
26 services14 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.
25 services24 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.52
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

JOANNA MARIE GARZA LCSW
Social Worker (Clinical)
1000 E DOVE AVE STE 200
MCALLEN, TX 78504
Hidalgo County (956) 362-3520
DOREEN ANDISI ASENA
Student in an Organized Health Care Education/Training Program
1000 E DOVE AVE STE 200
MCALLEN, TX 78504
Hidalgo County (956) 362-3558
DR. BRETT ANTHONY RAMEY DC, PA-C
Physician Assistant
1000 E DOVE AVE STE 200
MCALLEN, TX 78504
Hidalgo County (956) 362-8890
ALEJANDRO RAFAEL GONZALEZ NAVARRO MD
Student in an Organized Health Care Education/Training Program
1000 E DOVE AVE STE 200
MCALLEN, TX 78504
Hidalgo County (956) 362-3505
AISHA REHMAN MD
Student in an Organized Health Care Education/Training Program
1000 E DOVE AVE STE 200
MCALLEN, TX 78504
Hidalgo County (956) 362-3530
DR. HUGO MATIELY ULISSES CRUZ MD
Student in an Organized Health Care Education/Training Program
1000 E DOVE AVE STE 200
MCALLEN, TX 78504
Hidalgo County (956) 362-3530
MICHAEL SONGCAYAUON PA
Physician Assistant (Medical)
1000 E DOVE AVE STE 200
MCALLEN, TX 78504
Hidalgo County (956) 362-3530
JAVIER FRANCISCO LIZARAZO MIKLY MD
Student in an Organized Health Care Education/Training Program
1000 E DOVE AVE STE 200
MCALLEN, TX 78504
Hidalgo County (956) 362-3505

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 Sujan Gogu's NPI number?

The NPI number for Sujan Gogu is 1407268162. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Where is Sujan Gogu located?

Sujan Gogu practices at 1000 E Dove Ave Ste 200, Mcallen, TX 78504. The listed phone number is (956) 362-3530.

What is Sujan Gogu's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Sujan Gogu enrolled in Medicare?

Yes. Sujan Gogu 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 Sujan Gogu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sujan Gogu reassigns Medicare benefits to 3 organizations: Renaissance Providers (Edinburg, TX), Goodside Health Medical, PLLC (Fort Worth, TX) and Southwest Medical Associates, Inc. (Electra, TX). 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 Sujan Gogu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sujan Gogu accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Sujan Gogu 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 Sujan Gogu affiliated with any hospitals?

According to CMS data, Sujan Gogu is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Sujan Gogu was last updated on October 19, 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.