DR. RAMMOHAN GUMPENI M.D
NPI 1710069158
Internal Medicine - Pulmonary Disease in Flushing, NY

Q: What is Rammohan Gumpeni's NPI number?

The NPI number for Rammohan Gumpeni is 1710069158. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Rammohan Gumpeni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Rammohan Gumpeni was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

5645 MAIN ST, #WA 100, FLUSHING, NY 11355(718) 670-1405(718) 461-2943 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Jun 13, 2023 (2 updates tracked since 2023).

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About Dr. Rammohan Gumpeni M.d NPPES

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

DR. RAMMOHAN GUMPENI M.D (NPI 1710069158) is an individual pulmonary disease provider in Flushing, New York, licensed in New York (111523-1) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Other (1968).

NPPES Registry Identity

NPI1710069158

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. RAMMOHAN GUMPENICredential: M.D

Location Address5645 MAIN ST, #WA 100Flushing, NY 11355-5045

Mailing Address7568 187th StFresh Meadows, NY 11366-1726 · (718) 670-1405 · Fax (718) 819-5388

Phone(718) 670-1405

Fax(718) 461-2943

Sole ProprietorYes

Medical School CMSOtherGraduated 1968

Enumeration DateOctober 19, 2006

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1710069158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in NY · 111523-1✔ Licensed in NY · 111523

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

5645 MAIN ST, Flushing, NY 11355

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Other Identifiers 18

Other0C048PHip

Other11P6421Nypresbyterian Chp

Other000197150101Healthplus

Other0074822Ghi Ppo

Other11-3347168Multiplan

Other124016Aetna Hmo

Other160039Elderplan

Other4231839Aetna Ppo / Pos

Other10209256Amerigroup

Other100027142401United Healthcare

Other5C6148Healthnet

OtherDS486Oxford

Other000000106306Ghi Hmo

Medicaid00200793NY

Other000084001Americhoice

Other061205476GU01Family Health Plus

Other431637NCigna

Other693961Empire Bc/bs

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

Dr. Rammohan Gumpeni M.d 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 ID8527123389

PECOS Enrollment IDI20090211000765

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 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.

741 services133 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

155 services93 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.

142 services125 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

38 services38 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

36 services36 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330055

Location56-45 Main StreetFlushing, NY 11355 · Queens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.8

Promoting Interoperability

100

Improvement Activities

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.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers12 claims67 services$1.79 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers15 claims15 services$25.89 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.

ANA M GHELECHKHANI PA

Physician Assistant (Medical)