GAUTAM RAMANI KORAKAVI
NPI 1578025151
Otolaryngology in Los Angeles, CA

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
200 UCLA MEDICAL PLZ STE 550, LOS ANGELES, CA 90095(310) 206-6688 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2024, Apr 3, 2019 (2 updates tracked since 2019).

About Gautam Ramani Korakavi NPPES

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

GAUTAM RAMANI KORAKAVI (NPI 1578025151) is an individual otolaryngology provider in Los Angeles, California, licensed in California (A195267) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Central Michigan College Of Medicine (2019).

NPPES Registry Identity

NPI1578025151
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameGAUTAM RAMANI KORAKAVI
Location Address200 UCLA MEDICAL PLZ STE 550Los Angeles, CA 90095-1716
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorNo
Medical School CMSCentral Michigan College Of MedicineGraduated 2019
Enumeration DateApril 3, 2019
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1578025151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CA · A195267
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
200 UCLA MEDICAL PLZ STE 550, Los Angeles, CA 90095

Secondary Practice Location 1

Location 111100 Euclid AveCleveland, OH 44106-1716 · Phone (216) 844-8433

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

Gautam Ramani Korakavi 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 ID941533707
PECOS Enrollment IDI20240518000533
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 3

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.

Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes 99423
This service involves a week-long digital assessment and management program for existing patients. It includes continuous health monitoring, virtual consultations, and personalized treatment plans. The total time spent is 21 minutes or more, ensuring comprehensive care.
28 services28 patients
Plastic or reconstructive repair of throat 42950
Plastic or reconstructive repair of the throat is a surgical procedure aimed at restoring the normal function and appearance of the throat. This could be necessary due to injury, disease, or birth defects. The surgery involves reshaping or rebuilding the affected area to improve breathing, swallowing, and speech.
18 services14 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$20.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$108.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Otolaryngology
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Otolaryngology
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Otolaryngology (Pediatric Otolaryngology)
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Otolaryngology
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Nurse Practitioner
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Otolaryngology (Facial Plastic Surgery)
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Otolaryngology
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Otolaryngology
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095

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 Gautam Korakavi's NPI number?

The NPI number for Gautam Korakavi is 1578025151. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Gautam Korakavi located?

Gautam Korakavi practices at 200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095. The listed phone number is (310) 206-6688.

What is Gautam Korakavi's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Gautam Korakavi enrolled in Medicare?

Yes. Gautam Korakavi 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.

When was this NPI record last updated?

The NPPES record for Gautam Korakavi was last updated on July 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.