DR. USREESHA GOURNENI M.D.
NPI 1851642300
Hospitalist in Gallipolis, OH
About Dr. Usreesha Gourneni M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. USREESHA GOURNENI M.D. (NPI 1851642300) is an individual hospitalist provider in Gallipolis, Ohio, licensed in Ohio (35.130224) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Dr. Usreesha Gourneni 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.
Medicare Billing Reassignments
3Medicare enrollment records show Usreesha Gourneni reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Charleston, WV 25309
- Reassigned Medicare billing, West Virginia enrollment
- 466 clinicians in this Medicare group
Wheeling, WV 26003
- Reassigned Medicare billing, West Virginia enrollment
- 193 clinicians in this Medicare group
Ashtabula, OH 44004
- Reassigned Medicare billing, Ohio enrollment
- 272 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southern Ohio Medical Center
Acute Care Hospitals · Portsmouth, OHCharleston Area Medical Center
Acute Care Hospitals · Charleston, WVThomas Memorial Hospital
Acute Care Hospitals · South Charleston, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
GALLIPOLIS, OH 45631
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 Usreesha Gourneni's NPI number?
The NPI number for Usreesha Gourneni is 1851642300. It was assigned to this individual provider in the NPPES registry on September 24, 2012.
Where is Usreesha Gourneni located?
Usreesha Gourneni practices at 100 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (740) 446-5000.
What is Usreesha Gourneni's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Usreesha Gourneni enrolled in Medicare?
Yes. Usreesha Gourneni 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 Usreesha Gourneni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Usreesha Gourneni reassigns Medicare benefits to 3 organizations: Ths Physician Partners Inc (South Charleston, WV), Hospitalist Medicine Physicians Of West Virginia, PLLC (Wheeling, WV) and Apogee Medical Group, Ohio, Inc. (Ashtabula, OH). 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 Usreesha Gourneni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Usreesha Gourneni accept?
Health plans from CareSource list Usreesha Gourneni 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 Usreesha Gourneni affiliated with any hospitals?
According to CMS data, Usreesha Gourneni is affiliated with Southern Ohio Medical Center, Charleston Area Medical Center and Thomas Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Usreesha Gourneni was last updated on October 4, 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.
# Dr. Usreesha Gourneni, M.D. · NPI 1851642300
Hospitalist physician in Gallipolis, Ohio. Individual provider, active in the CMS NPPES registry since September 24, 2012.
## Identity
- **NPI:** 1851642300 (Entity type: Individual)
- **Enumerated:** September 24, 2012
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 35.130224 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 JACKSON PIKE, Gallipolis, OH 45631-1560
- **Phone:** (740) 446-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ths Physician Partners Inc (NPI 1871866806, South Charleston, WV); Hospitalist Medicine Physicians Of West Virginia, PLLC (NPI 1649575101, Wheeling, WV); Apogee Medical Group, Ohio, Inc. (NPI 1477500999, Ashtabula, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** October 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1851642300) · Data from the CMS NPPES public registry.