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ACHUTA KUMAR GUDDATI MD
NPI 1457639312
Internal Medicine - Hematology & Oncology in Stony Brook, NY

Active since July 26, 2011PECOS EnrolledAccepts Medicare Assignment
100 NICOLLS RD # T15053, STONY BROOK, NY 11794(631) 444-3655 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2023, Sep 20, 2022, Jun 9, 2022 and 2 more (5 updates tracked since 2017).

About Achuta Kumar Guddati Md NPPES

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

ACHUTA KUMAR GUDDATI MD (NPI 1457639312) is an individual hematology & oncology provider in Stony Brook, New York, licensed in New York (315533) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1457639312
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameACHUTA KUMAR GUDDATICredential: MD
Location Address100 NICOLLS RD # T15053Stony Brook, NY 11794-0002
Mailing Address100 Nicolls Rd # T15-053Stony Brook, NY 11794-0001 · (631) 444-3655
Phone(631) 444-3655
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 26, 2011
Last NPPES UpdateJuly 25, 20235 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1457639312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in NY · 315533✔ Licensed in GA · 080307
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.
100 NICOLLS RD # T15053, Stony Brook, NY 11794
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Secondary Practice Location 1

Location 1450 Clarkson AveBrooklyn, NY 11203-2012 · Phone (312) 404-8928

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare, Mountain Health CO-OP 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

Achuta Kumar Guddati 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 ID2860664307
PECOS Enrollment IDI20191212002459, I20220629000498
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

5

Medicare enrollment records show Achuta Guddati reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stony Brook Internists, University Faculty Practice Corporation
0.3 mi
Pulmonary Disease
SUNY @ STONY BROOK, HSC, L16, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1578502100 (New York)
  • 177 clinicians in this Medicare group
NPI 1104865229 (631) 444-2448
St. Peter's Hospital Of The City Of Albany
123 mi
Internal Medicine
53 COLUMBIA STREET
Rensselaer, NY 12144
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
NPI 1487725750 (518) 434-2526
Samaritan Hospital Of Troy, New York
129 mi
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
NPI 1043267727 (518) 271-3300
Baptist Health Medical Group Inc
641 mi
Nurse Practitioner
4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1518360296 (859) 260-4390
Au Medical Associates Inc
708 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273

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.

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.
453 services184 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.
183 services47 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.
150 services138 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.
57 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
45 services32 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.
42 services41 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Achuta Guddati's NPI number?

The NPI number for Achuta Guddati is 1457639312. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Achuta Guddati located?

Achuta Guddati practices at 100 Nicolls Rd # T15053, Stony Brook, NY 11794. The listed phone number is (631) 444-3655.

What is Achuta Guddati's specialty?

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

Is Achuta Guddati enrolled in Medicare?

Yes. Achuta Guddati 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 Achuta Guddati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Achuta Guddati reassigns Medicare benefits to 5 organizations: Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY), St. Peter's Hospital Of The City Of Albany (Rensselaer, NY), Samaritan Hospital Of Troy, New York (Troy, NY), Baptist Health Medical Group Inc (Lexington, KY) and Au Medical Associates Inc (Augusta, GA). 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 Achuta Guddati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Achuta Guddati accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare, Mountain Health CO-OP and Taro Health list Achuta Guddati 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 Achuta Guddati affiliated with any hospitals?

According to CMS data, Achuta Guddati is affiliated with Baptist Health Corbin, St Peter's Hospital, Suny/Stony Brook University Hospital and Adventhealth Hendersonville.

When was this NPI record last updated?

The NPPES record for Achuta Guddati was last updated on July 25, 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.