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DR. PRABHAKAR RAO GUDURU M.D
NPI 1427098540
Internal Medicine - Geriatric Medicine in Fargo, ND

Active since June 07, 2006PECOS Enrolled
2101 ELM ST N, VETERANS AFFAIRS MEDICAL CENTER, FARGO, ND 58102(701) 239-3700(701) 237-2643 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Prabhakar Rao Guduru M.d NPPES

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

DR. PRABHAKAR RAO GUDURU M.D (NPI 1427098540) is an individual geriatric medicine provider in Fargo, North Dakota, licensed in North Dakota (7985) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427098540
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. PRABHAKAR RAO GUDURUCredential: M.D
Location Address2101 ELM ST N, VETERANS AFFAIRS MEDICAL CENTERFargo, ND 58102-2417
Mailing Address2101 Elm St N, Veterans Affairs Medical CenterFargo, ND 58102-2417 · (701) 239-3700 · Fax (701) 237-2643
Phone(701) 239-3700
Fax(701) 237-2643
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
✔ NPI 1427098540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in ND · 7985
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License 7985 (ND)
2101 ELM ST N, Fargo, ND 58102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prabhakar Rao Guduru M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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.

GWEN P NORDAHL PA-C
Physician Assistant
2101 ELM ST N
FARGO, ND 58102
Cass County (218) 739-1400
ERICA MUCHOW RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
JAZMYN RHEA HOGENSON RN
Registered Nurse (Medical-Surgical)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 234-3241
HILLARY KATHERINE THEURER MSW
Social Worker
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 333-8135
KEVIN MCCARVEL RN
Registered Nurse (Ambulatory Care)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
INDRA P BHATTARAI
Specialist/Technologist, Pathology (Medical Technologist)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 232-3241
MS. ROBIN LEE HARTMAN-BILBEN RN
Registered Nurse (Emergency)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 237-2611
CEISHA LEINGANG RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 255-2048

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 Prabhakar Guduru's NPI number?

The NPI number for Prabhakar Guduru is 1427098540. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Prabhakar Guduru located?

Prabhakar Guduru practices at 2101 Elm St N Veterans Affairs Medical Center, Fargo, ND 58102. The listed phone number is (701) 239-3700.

What is Prabhakar Guduru's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Prabhakar Guduru enrolled in Medicare?

Yes. Prabhakar Guduru is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prabhakar Guduru was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.