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GAUTAM MADDINENI M.B.B.S
NPI 1710628573
Internal Medicine - Gastroenterology in Omaha, NE

Active since April 05, 2022PECOS Enrolled
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF GASTROENTEROLOGY, OMAHA, NE 68124(402) 280-4191 Get Directions Write a Review

NPPES record last updated: July 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Gautam Maddineni M.b.b.s NPPES

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

GAUTAM MADDINENI M.B.B.S (NPI 1710628573) is an individual gastroenterology provider in Omaha, Nebraska, licensed in Nebraska (10191) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710628573
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGAUTAM MADDINENICredential: M.B.B.S
Location Address7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF GASTROENTEROLOGYOmaha, NE 68124-2353
Mailing Address7710 Mercy Road, Suite 202, Cu Department Of GastroenterologyOmaha, NE 68124-2353
Phone(402) 280-4191
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 6, 20252 updates tracked since enumeration
NPPES CertifiedJuly 6, 2025
✔ NPI 1710628573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NE · 10191
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7710 MERCY ROAD, SUITE 202, Omaha, NE 68124
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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)

Gautam Maddineni M.b.b.s 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 68124 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 20

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

HO TAIK SUNG MD
Psychiatry & Neurology (Psychiatry)
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF PSYCHIATRY
OMAHA, NE 68124
Douglas County (402) 280-4195
DR. DILLON JAMES WADE MD
Surgery
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF SURGERY
OMAHA, NE 68124
Douglas County (402) 280-4669
DR. DURVA MASIH
Internal Medicine
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF INTERNAL MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4392
DR. NAYANA SASIDHARAN MBBS
Family Medicine
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF (FAMILY MEDICINE)
OMAHA, NE 68124
Douglas County (402) 280-4318
DR. CAITLIN LECONTE MD
Psychiatry & Neurology (Psychiatry)
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF PSYCHIATRY
OMAHA, NE 68124
Douglas County (402) 280-4195
SYDNEY MAE GIBSON
Student in an Organized Health Care Education/Training Program
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF SURGERY
OMAHA, NE 68124
Douglas County (402) 280-4669
JAMIE CIMINO
Obstetrics & Gynecology
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
OMAHA, NE 68124
Douglas County (402) 280-4438
JENNIFER BROOKS MD
Obstetrics & Gynecology
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
OMAHA, NE 68124
Douglas County (402) 280-4438

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 Gautam Maddineni's NPI number?

The NPI number for Gautam Maddineni is 1710628573. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Gautam Maddineni located?

Gautam Maddineni practices at 7710 Mercy Road, Suite 202 Cu Department Of Gastroenterology, Omaha, NE 68124. The listed phone number is (402) 280-4191.

What is Gautam Maddineni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gautam Maddineni enrolled in Medicare?

Yes. Gautam Maddineni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gautam Maddineni was last updated on July 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.