Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUMALATHA M GUDAVALLI
NPI 1770610719
Physician Assistant in Highlands Ranch, CO

Q: What is Sumalatha Gudavalli's NPI number?

The NPI number for Sumalatha Gudavalli is 1770610719. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Q: What is Sumalatha Gudavalli's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since February 27, 2007PECOS Enrolled

206 W COUNTY LINE RD STE 340, HIGHLANDS RANCH, CO 80129(303) 888-6426(303) 302-1659 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 20, 2026, Mar 21, 2016 (2 updates tracked since 2016).

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About Sumalatha M Gudavalli NPPES

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

SUMALATHA M GUDAVALLI (NPI 1770610719) is an individual physician assistant in Highlands Ranch, Colorado, licensed in Colorado (PA.0001545) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770610719

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSUMALATHA M GUDAVALLI

Location Address206 W COUNTY LINE RD STE 340Highlands Ranch, CO 80129-2321

Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000

Phone(303) 888-6426

Fax(303) 302-1659

Sole ProprietorNo

Enumeration DateFebruary 27, 2007

Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1770610719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CO · PA.0001545

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedDermatologyTaxonomy 207N00000X · License 1545 (CO)

206 W COUNTY LINE RD STE 340, Highlands Ranch, CO 80129

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Other Identifiers 2

Medicaid98038214CO

Other013652Kaiser-commercial Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sumalatha M Gudavalli 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 80129 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

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 8

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

MRS. JANICE ELIZABETH JOHNSEN PA

Physician Assistant