DR. MYTHRI REDDY GOLLAPALLE
NPI 1710120118
Family Medicine in Fremont, CA

Active since April 14, 2009PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
39500 LIBERTY ST, TRI-CITY HEALTH CENTER, FREMONT, CA 94538(510) 770-8040 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mythri Reddy Gollapalle NPPES

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

DR. MYTHRI REDDY GOLLAPALLE (NPI 1710120118) is an individual family medicine provider in Fremont, California, licensed in California (A119469) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1710120118
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MYTHRI REDDY GOLLAPALLE
Location Address39500 LIBERTY ST, TRI-CITY HEALTH CENTERFremont, CA 94538-2211
Mailing Address39500 Liberty St, Tri-city Health CenterFremont, CA 94538-2211 · (510) 770-8040
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 14, 2009
Last NPPES UpdateJanuary 30, 2014
NPI 1710120118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A119469
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
39500 LIBERTY ST, Fremont, CA 94538

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. Mythri Reddy Gollapalle 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 ID1759608052
PECOS Enrollment IDI20160819002095
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 94538 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers30 claims76 services$5.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers14 claims17 services$0.99 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress E0295
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$41.15 avg. paid by Medicare
Bed side rails, half length E0305
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$5.90 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 supplier12 claims12 services$66.67 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.16 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.

Registered Nurse
39500 LIBERTY ST
FREMONT, CA 94538
Dietitian, Registered
39500 LIBERTY ST
FREMONT, CA 94538
Psychologist (Clinical)
39500 LIBERTY ST
FREMONT, CA 94538
Nurse Practitioner (Family)
39500 LIBERTY ST
FREMONT, CA 94538
Psychologist (Clinical)
39500 LIBERTY ST
FREMONT, CA 94538
Family Medicine
39500 LIBERTY ST
FREMONT, CA 94538
Psychologist (Clinical)
39500 LIBERTY ST
FREMONT, CA 94538
Nurse Practitioner
39500 LIBERTY ST
FREMONT, CA 94538

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 Mythri Gollapalle's NPI number?

The NPI number for Mythri Gollapalle is 1710120118. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Mythri Gollapalle located?

Mythri Gollapalle practices at 39500 Liberty St Tri-City Health Center, Fremont, CA 94538. The listed phone number is (510) 770-8040.

What is Mythri Gollapalle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mythri Gollapalle enrolled in Medicare?

Yes. Mythri Gollapalle 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 Mythri Gollapalle was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.