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PRUTHVI GOPARAJU MD
NPI 1447802087
Internal Medicine - Endocrinology, Diabetes & Metabolism in Huntington, WV

Active since July 14, 2019PECOS EnrolledAccepts Medicare Assignment
1600 MEDICAL CENTER DRIVE, SUITE 3500, HUNTINGTON, WV 25701(304) 691-1300(304) 691-1375 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, Jul 14, 2019 (2 updates tracked since 2019).

About Pruthvi Goparaju Md NPPES

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

PRUTHVI GOPARAJU MD (NPI 1447802087) is an individual endocrinology, diabetes & metabolism provider in Huntington, West Virginia, licensed in West Virginia (33358) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1447802087
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NamePRUTHVI GOPARAJUCredential: MD
Location Address1600 MEDICAL CENTER DRIVE, SUITE 3500Huntington, WV 25701-3655
Mailing Address1448 10th Ave Ste 304Huntington, WV 25701-3579 · (304) 691-6381 · Fax (304) 691-8591
Phone(304) 691-1300
Fax(304) 691-1375
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 14, 2019
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1447802087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in WV · 33358
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4351045203 (MI)
1600 MEDICAL CENTER DRIVE, Huntington, WV 25701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.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

Pruthvi Goparaju Md 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 ID2961730635
PECOS Enrollment IDI20240823001980
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 4

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.
35 services33 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.
35 services34 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.
22 services22 patients
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.
16 services11 patients

Hospital Affiliations CMS Care Compare 4

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

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

Rivers Health

Acute Care Hospitals · Point Pleasant, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510012
Location2520 Valley DrivePoint Pleasant, WV 25550 · Mason County
Emergency services

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510055
Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

RIDA S MAZAGRI MD
Neurological Surgery
1600 MEDICAL CENTER DRIVE, SUITE B500
HUNTINGTON, WV 25701
Cabell County (304) 691-1787
JACKIE R STINES JR. MD
Pediatrics (Pediatric Cardiology)
1600 MEDICAL CENTER DRIVE, STE 3500
HUNTINGTON, WV 25701
Cabell County (304) 691-1300
AMY LEIGH SMITH MD
Obstetrics & Gynecology
1600 MEDICAL CENTER DRIVE, SUITE 4500
HUNTINGTON, WV 25701
Cabell County (304) 691-1400
DR. JUSTIN M NOLTE MD
Psychiatry & Neurology (Neurology)
1600 MEDICAL CENTER DRIVE, SUITE B500
HUNTINGTON, WV 25701
Cabell County (304) 691-1787
MARSHALL PHARMACY INC.
Pharmacy (Clinic Pharmacy)
1600 MEDICAL CENTER DRIVE
HUNTINGTON, WV 25701
Cabell County (304) 691-6879
PATRICIA KELLY MD
Pediatrics
1600 MEDICAL CENTER DRIVE, SUITE 3500
HUNTINGTON, WV 25701
Cabell County (304) 691-1300
MR. SAIF GHISHAN MD
Student in an Organized Health Care Education/Training Program
1600 MEDICAL CENTER DRIVE
HUNTINGTON, WV 25701
Cabell County (304) 691-1824
FIASILI FITISEMANU-BARTRAM PRSS
Peer Specialist
1600 MEDICAL CENTER DRIVE
HUNTINGTON, WV 25701
Cabell County (304) 691-1100

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 Pruthvi Goparaju's NPI number?

The NPI number for Pruthvi Goparaju is 1447802087. It was assigned to this individual provider in the NPPES registry on July 14, 2019.

Where is Pruthvi Goparaju located?

Pruthvi Goparaju practices at 1600 Medical Center Drive Suite 3500, Huntington, WV 25701. The listed phone number is (304) 691-1300.

What is Pruthvi Goparaju's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Pruthvi Goparaju enrolled in Medicare?

Yes. Pruthvi Goparaju 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 Pruthvi Goparaju accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Pruthvi Goparaju 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 Pruthvi Goparaju affiliated with any hospitals?

According to CMS data, Pruthvi Goparaju is affiliated with St Mary's Medical Center, Rivers Health, Charleston Area Medical Center and Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Pruthvi Goparaju was last updated on July 30, 2024. 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.