DR. SIVAJI GUNDLAPALLI MD
NPI 1669433868
Internal Medicine - Cardiovascular Disease in Port Huron, MI

Active since March 29, 2006PECOS Enrolled
1222 10TH AVE, PORT HURON, MI 48060(810) 985-9681(810) 985-3590 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sivaji Gundlapalli Md NPPES

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

DR. SIVAJI GUNDLAPALLI MD (NPI 1669433868) is an individual cardiovascular disease provider in Port Huron, Michigan, licensed in Michigan (4301052256) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669433868
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SIVAJI GUNDLAPALLICredential: MD
Location Address1222 10TH AVEPort Huron, MI 48060-3406
Mailing Address1222 10th AvePort Huron, MI 48060-3406 · (810) 985-9681 · Fax (810) 985-3590
Fax(810) 985-3590
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateJanuary 30, 2008
✔ NPI 1669433868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 4301052256
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1222 10TH AVE, Port Huron, MI 48060

Other Identifiers 1

Medicare PING46015004MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sivaji Gundlapalli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sivaji Gundlapalli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
1222 10TH AVE
Port Huron, MI 48060
  • Reassigned Medicare billing, Michigan enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Cardiovascular Disease)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Cardiovascular Disease)
1222 10TH AVE
PORT HURON, MI 48060
Nurse Practitioner (Adult Health)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Interventional Cardiology)
1222 10TH AVE
PORT HURON, MI 48060
Nurse Practitioner (Adult Health)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Interventional Cardiology)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Clinical Cardiac Electrophysiology)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Interventional Cardiology)
1222 10TH AVE
PORT HURON, MI 48060

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 Sivaji Gundlapalli's NPI number?

The NPI number for Sivaji Gundlapalli is 1669433868. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Sivaji Gundlapalli located?

Sivaji Gundlapalli practices at 1222 10th Ave, Port Huron, MI 48060. The listed phone number is (810) 985-9681.

What is Sivaji Gundlapalli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sivaji Gundlapalli enrolled in Medicare?

Yes. Sivaji Gundlapalli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sivaji Gundlapalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sivaji Gundlapalli reassigns Medicare benefits to Cardiology Assoc Of Port Huron (Port Huron, MI). 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 Sivaji Gundlapalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sivaji Gundlapalli was last updated on January 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.