MRS. GOWTHAMI KOORAPATI MD
NPI 1497378640
Internal Medicine in Waterloo, IA

Q: What is Gowthami Koorapati's NPI number?

The NPI number for Gowthami Koorapati is 1497378640. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Q: What is Gowthami Koorapati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 22, 2020PECOS EnrolledAccepts Medicare Assignment

3421 W 9TH ST, WATERLOO, IA 50702(319) 272-8349(319) 272-8355 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 5, 2023, Sep 18, 2020, May 22, 2020 (3 updates tracked since 2020).

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About Mrs. Gowthami Koorapati Md NPPES

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

MRS. GOWTHAMI KOORAPATI MD (NPI 1497378640) is an individual internal medicine provider in Waterloo, Iowa, licensed in Illinois (61328084955K) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Mercyone Waterloo Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1497378640

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMRS. GOWTHAMI KOORAPATICredential: MD

Location Address3421 W 9TH STWaterloo, IA 50702-5401

Mailing Address808 Ross LnMchenry, IL 60050 · (845) 480-6275

Phone(319) 272-8349

Fax(319) 272-8355

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 22, 2020

Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1497378640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IL · 61328084955K✔ Licensed in IA · MD-50633

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3421 W 9TH ST, Waterloo, IA 50702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..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

Mrs. Gowthami Koorapati 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 ID3173986692

PECOS Enrollment IDI20230831002454

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 Reassignment

Medicare enrollment records show Gowthami Koorapati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Center Inc

Same address

Emergency Medicine

3421 W 9TH ST
Waterloo, IA 50702

Reassigned Medicare billing, Iowa enrollment
271 clinicians in this Medicare group

NPI 1528009545 (319) 272-7600

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 7

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.

355 services139 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.

62 services61 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

58 services58 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

34 services33 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

32 services15 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.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160067

Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

PAUL FRANKE M.D.

Internal Medicine

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (319) 272-5655

DR. MICHELLE NICOLE KOMPARE MD

Pediatrics (Neonatal-Perinatal Medicine)

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (319) 272-8000

MARCIA A RELLIHAN D.O.

Nurse Practitioner (Obstetrics & Gynecology)

3421 W 9TH ST, SUITE G4500
WATERLOO, IA 50702

Black Hawk County (319) 233-8865

KRISTA RAE MILLER CNM

Advanced Practice Midwife

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (319) 272-8000

MARY A STEFFENSMEIER

Dietitian, Registered (Nutrition, Sports Dietetics)

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (319) 272-5859

KEVIN J DIRKSEN ARNP

Nurse Practitioner (Acute Care)

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (757) 561-4487

DR. RACHELLE ALEXANDRA MAKINDE MD

Anesthesiology

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (319) 272-5000

LEVI EDWARD ANDREWS DPM

Podiatrist

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (319) 272-2112

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 Gowthami Koorapati's NPI number?

The NPI number for Gowthami Koorapati is 1497378640. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Where is Gowthami Koorapati located?

Gowthami Koorapati practices at 3421 W 9th St, Waterloo, IA 50702. The listed phone number is (319) 272-8349.

What is Gowthami Koorapati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gowthami Koorapati enrolled in Medicare?

Yes. Gowthami Koorapati 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 organization bills Medicare for Gowthami Koorapati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gowthami Koorapati reassigns Medicare benefits to Covenant Medical Center Inc (Waterloo, IA). The 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 Gowthami Koorapati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gowthami Koorapati accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Gowthami Koorapati 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 Gowthami Koorapati affiliated with any hospitals?

According to CMS data, Gowthami Koorapati is affiliated with Mercyone Waterloo Medical Center.

When was this NPI record last updated?

The NPPES record for Gowthami Koorapati was last updated on July 5, 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.