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DR. JALAJA GUNDRATHI M.D
NPI 1699126771
Pediatrics in Mason City, IA

Active since June 29, 2016PECOS Enrolled
910 N EISENHOWER, MASON CITY, IA 50401(641) 428-5437(641) 428-5800 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Apr 20, 2021, Aug 3, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Jalaja Gundrathi M.d NPPES

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

DR. JALAJA GUNDRATHI M.D (NPI 1699126771) is an individual pediatrics provider in Mason City, Iowa, licensed in Iowa (MD-45745) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699126771
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JALAJA GUNDRATHICredential: M.D
Location Address910 N EISENHOWERMason City, IA 50401-1525
Mailing Address621 S Illinois Ave, Suite 103Mason City, IA 50401-5489 · (641) 428-5437 · Fax (641) 428-5437
Phone(641) 428-5437
Fax(641) 428-5800
Sole ProprietorYes
Enumeration DateJune 29, 2016
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1699126771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IA · MD-45745
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedGeneral Acute Care Hospital · ChildrenTaxonomy 282NC2000X
910 N EISENHOWER, Mason City, IA 50401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. 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 (PECOS)

Dr. Jalaja Gundrathi M.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
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 3

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

DR. ADEL F MAKAR MD
Pediatrics (Adolescent Medicine)
910 N EISENHOWER, SUITE PEDS
MASON CITY, IA 50401
Cerro Gordo County (641) 422-5437
DR. JAFFAR A SHAIKH MD
Pediatrics (Adolescent Medicine)
910 N EISENHOWER, SUITE PEDS
MASON CITY, IA 50401
Cerro Gordo County (641) 422-5437
DR. TAMI R WIEGMANN MD
Pediatrics (Adolescent Medicine)
910 N EISENHOWER, SUITE PEDS
MASON CITY, IA 50401
Cerro Gordo County (641) 422-5437

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 Jalaja Gundrathi's NPI number?

The NPI number for Jalaja Gundrathi is 1699126771. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Jalaja Gundrathi located?

Jalaja Gundrathi practices at 910 N Eisenhower, Mason City, IA 50401. The listed phone number is (641) 428-5437.

What is Jalaja Gundrathi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jalaja Gundrathi enrolled in Medicare?

Yes. Jalaja Gundrathi is registered in the Medicare PECOS enrollment system.

What insurance does Jalaja Gundrathi accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Jalaja Gundrathi 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.

When was this NPI record last updated?

The NPPES record for Jalaja Gundrathi was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.