SASIDHAR GUTHIKONDA M.D.
NPI 1851595367
Internal Medicine - Interventional Cardiology in Humacao, PR

Q: What is Sasidhar Guthikonda's NPI number?

The NPI number for Sasidhar Guthikonda is 1851595367. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Q: What is Sasidhar Guthikonda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment

90.8/100

CMS Quality Rating

355 CALLE FONT MARTELO STE 105, HUMACAO, PR 00791(787) 603-3883 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2025, Jul 12, 2024 (2 updates tracked since 2024).

On this page

About Sasidhar Guthikonda M.d. NPPES

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

SASIDHAR GUTHIKONDA M.D. (NPI 1851595367) is an individual interventional cardiology provider in Humacao, Puerto Rico, licensed in Puerto Rico (023764) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1851595367

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameSASIDHAR GUTHIKONDACredential: M.D.

Location Address355 CALLE FONT MARTELO STE 105Humacao, PR 00791-3249

Mailing Address285 Palmas Inn Way Apt 4304Humacao, PR 00791-6712 · (787) 603-3883

Phone(787) 603-3883

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 11, 2007

Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1851595367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in PR · 023764✔ Licensed in GA · 57471

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 023764 (PR), 057471 (GA)

Secondary Practice Location 1

Location 11267 Highway 54 W Ste 2200Fayetteville, GA 30214-2110 · Phone (770) 716-0051 · Fax (770) 716-0087

Other Identifiers 1

Medicaid214686737A-MGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Sasidhar Guthikonda 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 ID6204929813

PECOS Enrollment IDI20250805003640

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

Medicare enrollment records show Sasidhar Guthikonda reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cenit Medical Consultants LLC

Internal Medicine

ANEXO HOSPITAL RYDER, SUITE 105, #355 AVE. FONT MARTELO
Humacao, PR 00791

Reassigned Medicare billing, Puerto Rico enrollment
2 clinicians in this Medicare group

NPI 1295579001 (787) 603-3883

Piedmont Cardiology Of Atlanta, LLC

Cardiovascular Disease

275 COLLIER ROAD, SUITE 300
Atlanta, GA 30309

Reassigned Medicare billing, Georgia enrollment
539 clinicians in this Medicare group

NPI 1275729691 (404) 605-2800

Rchp Billings - Missoula LLC

Family Medicine

2827 FORT MISSOULA RD
Missoula, MT 59804

Reassigned Medicare billing, Montana enrollment
192 clinicians in this Medicare group

NPI 1376946913 (406) 327-4620

Salem Health

General Acute Care Hospital

890 OAK ST SE
Salem, OR 97301

Reassigned Medicare billing, Oregon enrollment
625 clinicians in this Medicare group

NPI 1265431829 (503) 561-5200

Upson Surgical Associates, LLC

Surgery

612 WEST GORDON STREET, SUITE E
Thomaston, GA 30286

Reassigned Medicare billing, Georgia enrollment
36 clinicians in this Medicare group

NPI 1790076974 (706) 647-3116

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

Areas of Expertise CMS Part B claims 13

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.

298 services286 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

78 services78 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

64 services64 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

52 services11 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

31 services31 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

28 services28 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

25 services25 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

16 services16 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

16 services16 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

16 services16 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.

14 services14 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

13 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270014

Location500 W BroadwayMissoula, MT 59806 · Missoula County

Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Missoula, MT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270023

Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula County

Emergency services Birthing friendly

Deer Lodge Medical Center

Critical Access Hospitals · Deer Lodge, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271314

Location1100 Hollenback LnDeer Lodge, MT 59722 · Powell County

Emergency services

St Luke Community Hospital

Critical Access Hospitals · Ronan, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271325

Location107 6th Ave SWRonan, MT 59864 · Lake County

Emergency services

Bitterroot Health - Daly Hospital

Critical Access Hospitals · Hamilton, MT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271340

Location1200 Westwood DrHamilton, MT 59840 · Ravalli County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00791 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

$130.65 typical visit price

range $56.86 – $172.44

Typical copayment $32.66 (range $14.21 – $43.11)

Most-billed visit code 99204

Established Patient

$100.24 typical visit price

range $18.24 – $140.44

Typical copayment $25.06 (range $4.56 – $35.11)

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.

90.8/100

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

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

20%480 patients1/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

60%306 patients3/55-star benchmark: 100%

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

Patients 65+: 100% · 45 patients

100%53 patients

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

62%482 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

64%521 patients3/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

1%471 patients1/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

53%161 patients3/55-star benchmark: 98%

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.

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 Sasidhar Guthikonda's NPI number?

The NPI number for Sasidhar Guthikonda is 1851595367. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Sasidhar Guthikonda located?

Sasidhar Guthikonda practices at 355 Calle Font Martelo Ste 105, Humacao, PR 00791. The listed phone number is (787) 603-3883.

What is Sasidhar Guthikonda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sasidhar Guthikonda enrolled in Medicare?

Yes. Sasidhar Guthikonda 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 Sasidhar Guthikonda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sasidhar Guthikonda reassigns Medicare benefits to 5 organizations: Cenit Medical Consultants LLC (Humacao, PR), Piedmont Cardiology Of Atlanta, LLC (Atlanta, GA), Rchp Billings - Missoula LLC (Missoula, MT), Salem Health (Salem, OR) and Upson Surgical Associates, LLC (Thomaston, GA). 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 Sasidhar Guthikonda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sasidhar Guthikonda accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Sasidhar Guthikonda 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 Sasidhar Guthikonda affiliated with any hospitals?

According to CMS data, Sasidhar Guthikonda is affiliated with St. Patrick Hospital, Community Medical Center, Deer Lodge Medical Center, St Luke Community Hospital and Bitterroot Health - Daly Hospital.

When was this NPI record last updated?

The NPPES record for Sasidhar Guthikonda was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.