DR. PRABHAVATHI GUMMALLA M.D
NPI 1750700852
Pediatrics - Pediatric Pulmonology in Philadelphia, PA
NPI Status: Active since April 16, 2014
Contact Information
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
Phone: (917) 715-5360
- Individual
- Female
- Pediatrics
- Pediatric Pulmonology
- PECOS Enrolled
About PRABHAVATHI GUMMALLA
This page provides the complete NPI Profile along with additional information for Prabhavathi Gummalla, a pediatrician established in Philadelphia, Pennsylvania with a medical specialization in Pediatrics, focusing in pediatric pulmonology . The healthcare provider is registered in the NPI registry with number 1750700852 assigned on April 2014. The practitioner's primary taxonomy code is 2080P0214X with license number MD458931 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago. Prabhavathi Gummalla operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.
- NPI
- 1750700852
- Provider Name
- DR. PRABHAVATHI GUMMALLA M.D
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3401 CIVIC CENTER BLVD PHILADELPHIA, PA 19104
- Location Phone
- (917) 715-5360
- Mailing Address
- 2-10 LINDEN AVE HADDONFIELD, NJ 08033
- Mailing Phone
- (917) 715-5360
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-16-2014
- Last Update Date
- 02-09-2023
- Code Navigator
A pediatrician like Prabhavathi Gummalla is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 200 Bowman Dr
Voorhees, NJ 08043
(215) 590-7490
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Pulmonology
- Taxonomy Code
- 2080P0214X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD458931
- License State
- PA
- Taxonomy Description
- A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0214X | Allopathic & Osteopathic Physicians | Pediatrics | 25MA10793600 (NJ) |
| 2 | 2080P0214X | Allopathic & Osteopathic Physicians | Pediatrics | 285065 (NY) |
| 3 | 2080S0012X | Allopathic & Osteopathic Physicians | Pediatrics | MD458931 (PA) |
| 4 | 2080S0012X | Allopathic & Osteopathic Physicians | Pediatrics | 25MA10793600 (NJ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Medicare Participation & PECOS Enrollment Status
Prabhavathi Gummalla is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)
1 DME suppliers used 16 Medicare Claims 16 Services Paid
DME-Other DME (DE001N)
Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)
1 DME suppliers used 17 Medicare Claims 102 Services Paid
DME-Other DME (DE001N)
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)
1 DME suppliers used 22 Medicare Claims 22 Services Paid
DME-Other DME (DE001N)
Headgear used with positive airway pressure device (HCPCS:A7035)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
1 DME suppliers used 18 Medicare Claims 108 Services Paid
Reviews for DR. PRABHAVATHI GUMMALLA M.D
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 7 | 0 | 0 | 8 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 0 | 0 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 4 + 0 + 0 + 8 + 1 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1750700852 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
ELIZABETH A JAMME MD
Pediatrics
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
MEENA THAYU M.D.
Pediatrics
(Pediatric Gastroenterology)
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
RICHARD M DONNER M.D.
Pediatrics
(Pediatric Cardiology)
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
MARIANNE M GLANZMAN M.D.
Pediatrics
(Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
ABIGAIL F FARBER M.D.
Pediatrics
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
BEVERLY J LANGE M.D.
Pediatrics
(Pediatric Hematology-Oncology)
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
PAUL J HONIG M.D.
Dermatology
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
ROSANNA POLLACK CRNP
Nurse Practitioner
(Pediatrics)
3401 CIVIC CENTER BLVD
4TH FLOOR WOOD BUILDING
PHILADELPHIA, PA
ZIP 19104
MARIKO NAKANISHI MD
Pediatrics
(Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
DANA SEPE M.D.
Pediatrics
(Pediatric Hematology-Oncology)
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
HENRY WELCH M.D.
Pediatrics
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
LISA DRINKER
Pediatrics
(Neonatal-Perinatal Medicine)
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
MATTHEW HOCKING
Psychologist
(Clinical Child & Adolescent)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
SYDNEY ANNE UPAH CRNP
Nurse Practitioner
(Pediatrics)
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
BLAIRE ALYSSA FRITZINGER CPNP
Nurse Practitioner
(Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
CATHERINE ASHLEY LEBO MSN, CRNP, FNP
Nurse Practitioner
(Family)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
MISS TRACY AMANDA WALKER CRNP
Nurse Practitioner
(Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
PHILIP VINCENT SCRIBANO DO
Pediatrics
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILA - GENERAL PEDIATRICS
PHILADELPHIA, PA
ZIP 19104
ALEXANDER DAVIDSON MD
Pediatrics
(Pediatric Cardiology)
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA
ZIP 19104
DR. SUDHA AYYALA ANUPINDI MD
Radiology
(Pediatric Radiology)
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY
PHILADELPHIA, PA
ZIP 19104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750700852, enumerated as an "individual" on April 16, 2014.
The provider is located at 3401 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 and the phone number is (917) 715-5360.
Pediatrics with taxonomy code 2080P0214X and a focus in Pediatric Pulmonology.
