GOTTUMUKKALA S RAJU MD
NPI 1801955323
Internal Medicine - Gastroenterology in Houston, TX

Q: What is Gottumukkala Raju's NPI number?

The NPI number for Gottumukkala Raju is 1801955323. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Q: What is Gottumukkala Raju's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Gottumukkala Raju was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment

81.38/100

CMS Quality Rating

1515 HOLCOMBE BLVD UNIT 1466, HOUSTON, TX 77030(713) 794-5073(713) 745-5040 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gottumukkala S Raju Md NPPES

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

GOTTUMUKKALA S RAJU MD (NPI 1801955323) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (L2576) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1801955323

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameGOTTUMUKKALA S RAJUCredential: MD

Location Address1515 HOLCOMBE BLVD UNIT 1466Houston, TX 77030-4000

Mailing Address1515 Holcombe Blvd Unit 1466, The University Of Texas Md Anderson Cancer CenterHouston, TX 77030-4000 · (713) 794-5073 · Fax (713) 745-5040

Phone(713) 794-5073

Fax(713) 745-5040

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateDecember 8, 2006

Last NPPES UpdateMarch 27, 2012

✔ NPI 1801955323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · L2576

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1515 HOLCOMBE BLVD UNIT 1466, Houston, TX 77030

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Other Identifiers 3

Medicare ID-Type Unspecified8789M1TX

Medicaid142193501TX

Medicare UPING16685TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Gottumukkala S Raju Md 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 ID6103929849

PECOS Enrollment IDI20070316000404

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 12

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 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.

76 services62 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

74 services72 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

59 services59 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

58 services56 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

54 services41 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

43 services42 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

29 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

18 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

15 services11 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

14 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

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.

81.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.25

Promoting Interoperability

100

Improvement Activities

Cost

49.97

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 Gottumukkala Raju's NPI number?

The NPI number for Gottumukkala Raju is 1801955323. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Gottumukkala Raju located?

Gottumukkala Raju practices at 1515 Holcombe Blvd Unit 1466, Houston, TX 77030. The listed phone number is (713) 794-5073.

What is Gottumukkala Raju's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gottumukkala Raju enrolled in Medicare?

Yes. Gottumukkala Raju 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 Gottumukkala Raju accept?

Health plans from Blue Cross and Blue Shield of Texas list Gottumukkala Raju 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.

When was this NPI record last updated?

The NPPES record for Gottumukkala Raju was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.