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DR. GANAPATHI GOTTUMUKKALA M.D.
NPI 1780683953
Family Medicine in Saint John, IN

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
9660 WICKER AVE, SAINT JOHN, IN 46373(193) 651-1772(219) 703-6662 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 3, 2024, Dec 23, 2021 (2 updates tracked since 2021).

About Dr. Ganapathi Gottumukkala M.d. NPPES

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

DR. GANAPATHI GOTTUMUKKALA M.D. (NPI 1780683953) is an individual family medicine provider in Saint John, Indiana, licensed in Indiana (01086883A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Community Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1780683953
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GANAPATHI GOTTUMUKKALACredential: M.D.
Location Address9660 WICKER AVESaint John, IN 46373-9487
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854
Phone(193) 651-1772
Fax(219) 703-6662
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 19, 2005
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1780683953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01086883A✔ Licensed in IL · 036074987
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9660 WICKER AVE, Saint John, IN 46373
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Other Identifiers 3

Medicaid300057653IN
Medicaid036074987IL
Other01625532IL · Blue Shield Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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. Ganapathi Gottumukkala M.d. 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 ID6709912538
PECOS Enrollment IDI20211222001149
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 9

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 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.
362 services342 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
93 services91 patients
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.
50 services49 patients
Detection test by immunoassay with direct visual observation for respiratory syncytial virus 87807
This is a test to identify the respiratory syncytial virus, a common cause of lung and respiratory tract infections. It uses immunoassay, a method that detects the virus through a reaction between the virus and specific antibodies. The result is visually observed.
45 services45 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
40 services39 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46373 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
5 suppliers15 claims46 services$6.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims23 services$1.05 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.

MARGARITA VEGA-SUAREZ FNP-C
Nurse Practitioner (Family)
9660 WICKER AVE, 2ND FL
SAINT JOHN, IN 46373
Lake County (219) 703-2417
DR. TASHA M HARRIS MD
Emergency Medicine
9660 WICKER AVE
ST. JOHN, IN 46373
Lake County (219) 365-7620
SAADUDDIN MOHAMMED SIDDIQUI MD
Emergency Medicine
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1177
MUNSTER ORTHOPAEDIC INSTITUTE, LLC
Orthopaedic Surgery
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 677-4940
MS. ALICIA FOWLER NP-C
Nurse Practitioner (Family)
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1177
MUNSTER ORTHOPAEDIC INSTITUTE, LLC
Durable Medical Equipment & Medical Supplies
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 836-2225
ALONZO KEVIN MORRISSEY MD
Family Medicine
9660 WICKER AVE
ST JOHN, IN 46373
Lake County (219) 365-1166
MARNE J JUESTEL FNP
Nurse Practitioner
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1177

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 Ganapathi Gottumukkala's NPI number?

The NPI number for Ganapathi Gottumukkala is 1780683953. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Ganapathi Gottumukkala located?

Ganapathi Gottumukkala practices at 9660 Wicker Ave, Saint John, IN 46373. The listed phone number is (193) 651-1772.

What is Ganapathi Gottumukkala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ganapathi Gottumukkala enrolled in Medicare?

Yes. Ganapathi 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 Ganapathi Gottumukkala accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Ganapathi 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 Ganapathi Gottumukkala affiliated with any hospitals?

According to CMS data, Ganapathi Gottumukkala is affiliated with Community Hospital.

When was this NPI record last updated?

The NPPES record for Ganapathi Gottumukkala was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.