GAUTHAM S GADIRAJU MD
NPI 1649462987
Internal Medicine in Midland, TX

Active since August 10, 2007PECOS EnrolledAccepts Medicare Assignment
94.86/100
CMS Quality Rating
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701(432) 221-1111 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 4, 2020, Jan 17, 2020 (2 updates tracked since 2020).

About Gautham S Gadiraju Md NPPES

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

GAUTHAM S GADIRAJU MD (NPI 1649462987) is an individual internal medicine provider in Midland, Texas, licensed in Michigan (4301089687) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Midland Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1649462987
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGAUTHAM S GADIRAJUCredential: MD
Location Address400 ROSALIND REDFERN GROVER PKWYMidland, TX 79701-5846
Mailing Address4214 Andrews Hwy Ste 240Midland, TX 79703-4817 · (432) 686-6605 · Fax (432) 682-2284
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 10, 2007
Last NPPES UpdateSeptember 4, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2020
NPI 1649462987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301089687
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.

400 ROSALIND REDFERN GROVER PKWY, Midland, TX 79701

Other Identifiers 3

Other000000701603IN · Anthem
Medicaid387144401TX
Other685085TX · Tx Medicare

Accepted 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

Gautham S Gadiraju 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 ID6800920174
PECOS Enrollment IDI20180731000089
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 6

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.
365 services140 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.
261 services115 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.
145 services139 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.
60 services60 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
33 services33 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450133
Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79701 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

94.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost59.88

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
1 supplier36 claims36 services$17.64 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
1 supplier36 claims36 services$90.63 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 19

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

Physician Assistant (Medical)
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Nurse Practitioner
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Nurse Practitioner (Family)
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Physician Assistant
400 ROSALIND REDFERN GROVER PKWY, SUITE 100
MIDLAND, TX 79701
Advanced Practice Midwife
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Nurse Anesthetist, Certified Registered
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Dentist (Oral and Maxillofacial Surgery)
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Nurse Practitioner
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649462987, enumerated as an "individual" on August 10, 2007.

The provider is located at 400 ROSALIND REDFERN GROVER PKWY MIDLAND, TX 79701 and the phone number is (432) 221-1111.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Gautham Gadiraju is affiliated with: MIDLAND MEMORIAL HOSPITAL.