GOUTHAM GUDAVALLI M.D.
NPI 1841604931
Internal Medicine - Critical Care Medicine in Alexandria, LA

Active since June 17, 2014PECOS EnrolledAccepts Medicare Assignment
49.08/100
CMS Quality Rating
211 4TH ST, ALEXANDRIA, LA 71301(318) 769-3000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 21, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Goutham Gudavalli M.d. NPPES

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

GOUTHAM GUDAVALLI M.D. (NPI 1841604931) is an individual critical care medicine provider in Alexandria, Louisiana, licensed in Louisiana (324147) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Rapides Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841604931
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameGOUTHAM GUDAVALLICredential: M.D.
Location Address211 4TH STAlexandria, LA 71301-8421
Mailing Address201 4th St # 30162Alexandria, LA 71301-8421
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 17, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
NPI 1841604931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in LA · 324147
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
211 4TH ST, Alexandria, LA 71301

Secondary Practice Locations 2

Location 12390 W Congress StLafayette, LA 70506-4205 · Phone (337) 261-6789 · Fax (337) 261-6791
Location 26220 Main St., Suite 1225Houston, TX 77030 · Phone (713) 798-5840

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

Goutham Gudavalli 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 ID3072823301
PECOS Enrollment IDI20201002000474
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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
246 services90 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
174 services87 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.
80 services49 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
21 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Rapides Regional Medical Center

Acute Care Hospitals · Alexandria, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190026
Location211 4th StreetAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71301 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

49.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality28.33
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%298 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%89 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Anesthesiology
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Practitioner (Family)
211 4TH ST
ALEXANDRIA, LA 71301
Obstetrics & Gynecology
211 4TH ST
ALEXANDRIA, LA 71301
Emergency Medicine
211 4TH ST
ALEXANDRIA, LA 71301
Radiology (Diagnostic Radiology)
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Anesthetist, Certified Registered
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Anesthetist, Certified Registered
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Practitioner (Gerontology)
211 4TH ST
ALEXANDRIA, LA 71301

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 Goutham Gudavalli's NPI number?

The NPI number for Goutham Gudavalli is 1841604931. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is Goutham Gudavalli located?

Goutham Gudavalli practices at 211 4th St, Alexandria, LA 71301. The listed phone number is (318) 769-3000.

What is Goutham Gudavalli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Goutham Gudavalli enrolled in Medicare?

Yes. Goutham Gudavalli 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.

Is Goutham Gudavalli affiliated with any hospitals?

According to CMS data, Goutham Gudavalli is affiliated with Rapides Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Goutham Gudavalli was last updated on July 21, 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.