ESHWAR GUMIDYALA MD
NPI 1891794137
Psychiatry & Neurology - Psychiatry in Crystal Lake, IL
About Eshwar Gumidyala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESHWAR GUMIDYALA MD (NPI 1891794137) is an individual psychiatry provider in Crystal Lake, Illinois, licensed in Illinois (036-094022) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Eshwar Gumidyala 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.
Medicare Billing Reassignment
Medicare enrollment records show Eshwar Gumidyala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Crystal Lake, IL 60014
- Reassigned Medicare billing, Illinois enrollment
- 11 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
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Medicine Central Dupage Hospital
Acute Care Hospitals · Winfield, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CRYSTAL LAKE, IL 60014
CRYSTAL LAKE, IL 60014
CRYSTAL LAKE, IL 60014
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 Eshwar Gumidyala's NPI number?
The NPI number for Eshwar Gumidyala is 1891794137. It was assigned to this individual provider in the NPPES registry on July 19, 2005.
Where is Eshwar Gumidyala located?
Eshwar Gumidyala practices at 500 Coventry Ln Suite 205, Crystal Lake, IL 60014. The listed phone number is (815) 455-7100.
What is Eshwar Gumidyala's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Eshwar Gumidyala enrolled in Medicare?
Yes. Eshwar Gumidyala 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 organization bills Medicare for Eshwar Gumidyala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eshwar Gumidyala reassigns Medicare benefits to Horizons Behavioral Health LLC (Crystal Lake, IL). The 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 Eshwar Gumidyala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eshwar Gumidyala accept?
Health plans from MercyCare and MercyCare Health Plans list Eshwar Gumidyala 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 Eshwar Gumidyala affiliated with any hospitals?
According to CMS data, Eshwar Gumidyala is affiliated with Northwestern Medicine Central Dupage Hospital.
When was this NPI record last updated?
The NPPES record for Eshwar Gumidyala was last updated on July 5, 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.
# Eshwar Gumidyala, MD · NPI 1891794137
Psychiatry physician in Crystal Lake, Illinois. Individual provider, active in the CMS NPPES registry since July 19, 2005.
## Identity
- **NPI:** 1891794137 (Entity type: Individual)
- **Enumerated:** July 19, 2005
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 036-094022 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 COVENTRY LN, SUITE 205, Crystal Lake, IL 60014-7579
- **Phone:** (815) 455-7100 · **Fax:** (815) 455-3951
## 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:** Horizons Behavioral Health LLC (NPI 1881692689, Crystal Lake, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** July 5, 2012
- **Other identifiers:** Medicare UPIN G60019 (IL); Medicare ID-Type Unspecified L62235 (IL); Medicaid 036094022 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1891794137) · Data from the CMS NPPES public registry.