DR. VENKATA ANAND VARMA GOTTUMUKKALA MD
NPI 1740510247
Internal Medicine - Pulmonary Disease in Huntsville, AL

Active since January 05, 2010PECOS EnrolledAccepts Medicare Assignment
420 LOWELL DR SE FL 5, HUNTSVILLE, AL 35801(256) 265-5864 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2021, Sep 8, 2020, Jun 5, 2019 (3 updates tracked since 2019).

About Dr. Venkata Anand Varma Gottumukkala Md NPPES

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

DR. VENKATA ANAND VARMA GOTTUMUKKALA MD (NPI 1740510247) is an individual pulmonary disease provider in Huntsville, Alabama, licensed in Alabama (MD.37039) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1740510247
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. VENKATA ANAND VARMA GOTTUMUKKALACredential: MD
Location Address420 LOWELL DR SE FL 5Huntsville, AL 35801-3754
Mailing AddressPo Box 2705Huntsville, AL 35804-2705 · (256) 265-5864
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 5, 2010
Last NPPES UpdateMarch 29, 20223 updates tracked since enumeration
NPPES CertifiedMarch 29, 2022
NPI 1740510247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in AL · MD.37039
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.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD.37039 (AL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MD.37039 (AL)
420 LOWELL DR SE FL 5, Huntsville, AL 35801

Secondary Practice Locations 3

Location 11 Hospital Dr SW Ste 202Huntsville, AL 35801-3495 · Phone (256) 429-5285 · Fax (256) 429-5284
Location 22520 Lucy Lee PkwyPoplar Bluff, MO 63901-2436 · Phone (573) 727-0050
Location 31 Hospital Dr SWHuntsville, AL 35801-6455 · Phone (256) 429-4000 · Fax (256) 429-5284

Accepted Insurance

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. Venkata Anand Varma Gottumukkala Md 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 ID6103078662
PECOS Enrollment IDI20121207000087
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
269 services153 patients
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.
190 services82 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.
97 services87 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services29 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.
38 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
37%401 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
5%43 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%605 patients2/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
21 suppliers159 claims159 services$37.42 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
25 suppliers173 claims173 services$95.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
22 suppliers167 claims449 services$36.51 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
14 suppliers95 claims522 services$20.35 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers58 claims293 services$14.37 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
21 suppliers169 claims169 services$56.90 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 7

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

Internal Medicine
420 LOWELL DR SE FL 5
HUNTSVILLE, AL 35801
Internal Medicine (Sleep Medicine)
420 LOWELL DR SE FL 5
HUNTSVILLE, AL 35801
Nurse Practitioner (Family)
420 LOWELL DR SE FL 5
HUNTSVILLE, AL 35801
Pharmacist
420 LOWELL DR SE FL 5
HUNTSVILLE, AL 35801
Nurse Practitioner (Family)
420 LOWELL DR SE FL 5
HUNTSVILLE, AL 35801
Nurse Practitioner (Acute Care)
420 LOWELL DR SE FL 5
HUNTSVILLE, AL 35801
Nurse Practitioner (Acute Care)
420 LOWELL DR SE FL 5
HUNTSVILLE, AL 35801

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 Venkata Anand Varma Gottumukkala's NPI number?

The NPI number for Venkata Anand Varma Gottumukkala is 1740510247. It was assigned to this individual provider in the NPPES registry on January 5, 2010.

Where is Venkata Anand Varma Gottumukkala located?

Venkata Anand Varma Gottumukkala practices at 420 Lowell Dr SE Fl 5, Huntsville, AL 35801. The listed phone number is (256) 265-5864.

What is Venkata Anand Varma Gottumukkala's specialty?

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

Is Venkata Anand Varma Gottumukkala enrolled in Medicare?

Yes. Venkata Anand Varma Gottumukkala 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.

What insurance does Venkata Anand Varma Gottumukkala accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Venkata Anand Varma Gottumukkala 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.

Is Venkata Anand Varma Gottumukkala affiliated with any hospitals?

According to CMS data, Venkata Anand Varma Gottumukkala is affiliated with Mercy Hospital South, Ssm St Clare Health Center and Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Venkata Anand Varma Gottumukkala was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.