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MOHAN GUNDETI
NPI 1790968147
Urology - Pediatric Urology in Chicago, IL

Active since December 07, 2007PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 24, 2022, May 19, 2022, Apr 18, 2022 and 1 more (4 updates tracked since 2022).

About Mohan Gundeti NPPES

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

MOHAN GUNDETI (NPI 1790968147) is an individual pediatric urology provider in Chicago, Illinois, licensed in Illinois (036140700) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1790968147
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameMOHAN GUNDETI
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address150 Harvester Dr, Suite 300Burr Ridge, IL 60527-5919
Phone(888) 824-0200
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 7, 2007
Last NPPES UpdateOctober 24, 20224 updates tracked since enumeration
✔ NPI 1790968147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in IL · 036140700
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
5841 S MARYLAND AVE, Chicago, IL 60637
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohan Gundeti 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 ID4587747324
PECOS Enrollment IDI20080216000028
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mohan Gundeti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
Same address
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
Same address
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200
Shriners Hospitals For Children
13 mi
Anesthesiology
2211 N OAK PARK AVE
Chicago, IL 60707
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1326536574 (773) 622-3351

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

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.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims2,400 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers14 claims2,520 services$1.68 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.

DR. DON MARTINEZ M.D.
Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 926-8318
ALEXANDRA DUMITRESCU
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
PELEG HOROWITZ
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
SANDEEP GURBUXANI
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. NIREN GANDRA M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-0240
ALLIE DAKROUB MD MS
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
SCOTT VASHER MD
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. NATHAN CHARLES NOWALK M.D.
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200

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 Mohan Gundeti's NPI number?

The NPI number for Mohan Gundeti is 1790968147. It was assigned to this individual provider in the NPPES registry on December 7, 2007.

Where is Mohan Gundeti located?

Mohan Gundeti practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Mohan Gundeti's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Mohan Gundeti enrolled in Medicare?

Yes. Mohan Gundeti 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.

Which organizations bill Medicare for Mohan Gundeti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohan Gundeti reassigns Medicare benefits to 3 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL) and Shriners Hospitals For Children (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohan Gundeti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohan Gundeti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, AmeriHealth Caritas Next and Oscar Health list Mohan Gundeti 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 Mohan Gundeti affiliated with any hospitals?

According to CMS data, Mohan Gundeti is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Mohan Gundeti was last updated on October 24, 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.