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ARUN GURUNATHAN M.D.
NPI 1497018709
Pediatrics - Pediatric Hematology-Oncology in Austin, TX

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
71.01/100
CMS Quality Rating
4910 MUELLER BLVD STE 200, AUSTIN, TX 78723(512) 628-1900 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arun Gurunathan M.d. NPPES

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

ARUN GURUNATHAN M.D. (NPI 1497018709) is an individual pediatric hematology-oncology provider in Austin, Texas, licensed in Texas (T6247) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Dell Children's Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497018709
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameARUN GURUNATHANCredential: M.D.
Location Address4910 MUELLER BLVD STE 200Austin, TX 78723-3079
Mailing Address4910 Mueller Blvd Ste 200Austin, TX 78723-3079 · (512) 628-1900
Phone(512) 628-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 21, 2012
Last NPPES UpdateJanuary 10, 2023
NPPES CertifiedJanuary 10, 2023
✔ NPI 1497018709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TX · T6247
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
4910 MUELLER BLVD STE 200, Austin, TX 78723
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Arun Gurunathan 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 ID749584639
PECOS Enrollment IDI20220705000866
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.

Hospital Affiliations CMS Care Compare

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

Dell Children's Medical Center

Childrens · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453310
Location4900 Mueller BlvdAustin, TX 78723 · Travis County
Emergency services

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.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

Reported Quality Measures

Childhood Immunization Status
0%24 patients
Chlamydia Screening for Women
10%42 patients
Closing the Referral Loop: Receipt of Specialist Report
23%22 patients2/55-star benchmark: 87%
HIV Screening
6%80 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
7%123 patients1/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
72%241 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

DR. PHILIP E NEFF MD
Pediatrics (Pediatric Hematology-Oncology)
4910 MUELLER BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1900
CORINNA ROMANTIC PNP
Nurse Practitioner (Pediatrics)
4910 MUELLER BLVD STE 200
AUSTIN, TX 78723
Travis County (607) 339-5211
OGECHI KRISTINE EZEJI PA
Physician Assistant
4910 MUELLER BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1900
DR. SAGE TAYLOR GREEN D.O.
Pediatrics (Pediatric Hematology-Oncology)
4910 MUELLER BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1900
DR. RAVEN MELISSA COOKSEY MD
Pediatrics (Pediatric Hematology-Oncology)
4910 MUELLER BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1900
VIRGINIA HARROD M.D.
Pediatrics (Pediatric Hematology-Oncology)
4910 MUELLER BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1900
DR. SHANNON MITCHELL COHN M.D.
Pediatrics (Pediatric Hematology-Oncology)
4910 MUELLER BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1900
CAMRYN MILLER FISH
Physician Assistant
4910 MUELLER BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1900

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 Arun Gurunathan's NPI number?

The NPI number for Arun Gurunathan is 1497018709. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Arun Gurunathan located?

Arun Gurunathan practices at 4910 Mueller Blvd Ste 200, Austin, TX 78723. The listed phone number is (512) 628-1900.

What is Arun Gurunathan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Arun Gurunathan enrolled in Medicare?

Yes. Arun Gurunathan 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 Arun Gurunathan 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 Arun Gurunathan 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 Arun Gurunathan affiliated with any hospitals?

According to CMS data, Arun Gurunathan is affiliated with Dell Children's Medical Center.

When was this NPI record last updated?

The NPPES record for Arun Gurunathan was last updated on January 10, 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.