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MANIDEEP GOTUR MD
NPI 1710384581
Internal Medicine in Rio Rancho, NM

Active since November 21, 2014PECOS Enrolled
83.84/100
CMS Quality Rating
4005 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124(505) 462-6000 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Manideep Gotur Md NPPES

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

MANIDEEP GOTUR MD (NPI 1710384581) is an individual internal medicine provider in Rio Rancho, New Mexico, licensed in New Mexico (MD2016-0014) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710384581
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMANIDEEP GOTURCredential: MD
Location Address4005 HIGH RESORT BLVD SERio Rancho, NM 87124-5906
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666
Phone(505) 462-6000
Sole ProprietorNo
Enumeration DateNovember 21, 2014
Last NPPES UpdateJune 27, 2016
✔ NPI 1710384581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2016-0014
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4005 HIGH RESORT BLVD SE, Rio Rancho, NM 87124
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manideep Gotur 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 7

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
7 suppliers17 claims52 services$6.52 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers22 claims740 services$4.47 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier11 claims200 services$8.45 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.47 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier14 claims14 services$4.35 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
4 suppliers23 claims23 services$65.57 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.

SHAE RAY
Registered Nurse (Ambulatory Care)
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
JENNIFER DELGADO FELIPA MD
Family Medicine (Geriatric Medicine)
4005 HIGH RESORT BLVD SE, INTERNAL MEDICINE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
REBECCA LYNN BOURBON P.A.-C
Physician Assistant
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
HEATHER ANN BUNDRANT RN
Registered Nurse (Ambulatory Care)
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 864-5454
DAVID ALLEN ZARIKTA CNP
Nurse Practitioner
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
DREW TOWLES
Pediatrics
4005 HIGH RESORT BLVD SE, PEDIATRICS
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
MARLENE EMBER-BARTOLOMEI CNP
Nurse Practitioner (Family)
4005 HIGH RESORT BLVD SE, PMG HIGH RESORT 4005
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
DR. JONATHAN FORREST GOLDSTONE MD
Family Medicine
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000

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 Manideep Gotur's NPI number?

The NPI number for Manideep Gotur is 1710384581. It was assigned to this individual provider in the NPPES registry on November 21, 2014.

Where is Manideep Gotur located?

Manideep Gotur practices at 4005 High Resort Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 462-6000.

What is Manideep Gotur's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manideep Gotur enrolled in Medicare?

Yes. Manideep Gotur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manideep Gotur was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.