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PRARTHANA REDDY GADDAM M.D.
NPI 1801024948
Family Medicine in Long Beach, CA

Active since June 27, 2009PECOS EnrolledAccepts Medicare Assignment
6226 E SPRING ST STE 100, LONG BEACH, CA 90815(562) 420-1338(562) 627-5620 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prarthana Reddy Gaddam M.d. NPPES

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

PRARTHANA REDDY GADDAM M.D. (NPI 1801024948) is an individual family medicine provider in Long Beach, California, licensed in California (A133530) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1801024948
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRARTHANA REDDY GADDAMCredential: M.D.
Location Address6226 E SPRING ST STE 100Long Beach, CA 90815-1442
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(562) 420-1338
Fax(562) 627-5620
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 27, 2009
Last NPPES UpdateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1801024948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A133530✔ Licensed in VA · 0116021853
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.
6226 E SPRING ST STE 100, Long Beach, CA 90815
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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

Prarthana Reddy Gaddam 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 ID5496904906
PECOS Enrollment IDI20150922003371
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 4

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.
74 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services13 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90815 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 5

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

DR. NATALIE PANG SUNG DO
Family Medicine
6226 E SPRING ST STE 100
LONG BEACH, CA 90815
Los Angeles County (562) 420-1338
MS. MELISSA SUZANNE FITZGERALD FNP-C
Nurse Practitioner (Family)
6226 E SPRING ST STE 100
LONG BEACH, CA 90815
Los Angeles County (562) 420-1338
DR. MUHAMMAD MAHMOUD NOUH DO
Family Medicine
6226 E SPRING ST STE 100
LONG BEACH, CA 90815
Los Angeles County (562) 420-1338
DR. KIMBERLY ANN ARSI D.O.
Family Medicine
6226 E SPRING ST STE 100
LONG BEACH, CA 90815
Los Angeles County (562) 496-4331
MRS. MARISA KOLTA MENDEZ MS, PA-C
Physician Assistant
6226 E SPRING ST STE 100
LONG BEACH, CA 90815
Los Angeles County (562) 420-1338

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 Prarthana Gaddam's NPI number?

The NPI number for Prarthana Gaddam is 1801024948. It was assigned to this individual provider in the NPPES registry on June 27, 2009.

Where is Prarthana Gaddam located?

Prarthana Gaddam practices at 6226 E Spring St Ste 100, Long Beach, CA 90815. The listed phone number is (562) 420-1338.

What is Prarthana Gaddam's specialty?

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

Is Prarthana Gaddam enrolled in Medicare?

Yes. Prarthana Gaddam 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.

When was this NPI record last updated?

The NPPES record for Prarthana Gaddam was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.