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SRIHARSHA GUMMADI MD
NPI 1952798910
Surgery in Wynnewood, PA

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment
100 E LANCASTER AVE, MOB SOUTH SUITE 422, WYNNEWOOD, PA 19096(484) 476-2169 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sriharsha Gummadi Md NPPES

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

SRIHARSHA GUMMADI MD (NPI 1952798910) is an individual surgery provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MD461912) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2015).

NPPES Registry Identity

NPI1952798910
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSRIHARSHA GUMMADICredential: MD
Location Address100 E LANCASTER AVE, MOB SOUTH SUITE 422Wynnewood, PA 19096-3450
Mailing Address100 E Lancaster Ave, Mob South Suite 422Wynnewood, PA 19096-3450 · (484) 476-2169
Phone(484) 476-2169
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2015
Enumeration DateApril 16, 2015
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1952798910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD461912
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
100 E LANCASTER AVE, Wynnewood, PA 19096
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Sriharsha Gummadi 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 ID4082041413
PECOS Enrollment IDI20231107003315
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 7

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.

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.
49 services30 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.
42 services36 patients
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.
32 services18 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.
30 services30 patients
Ultrasound scan of chest 76604
An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.
14 services14 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. AKHNUWKH JONES M.D.
Internal Medicine
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
AMANDA B CHRISTINI MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
LAI KWAN LOUIE RPH
Pharmacist
100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096
Montgomery County (610) 658-8640
DANIEL WANG MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
SARAH TYRRELL CRNA
Nurse Anesthetist, Certified Registered
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
MARGARET MACK
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 642-3796
XIAOLING YU MD
Hospitalist
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
JONATHAN HONGYI CHEN MD
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-2000

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 Sriharsha Gummadi's NPI number?

The NPI number for Sriharsha Gummadi is 1952798910. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Sriharsha Gummadi located?

Sriharsha Gummadi practices at 100 E Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096. The listed phone number is (484) 476-2169.

What is Sriharsha Gummadi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sriharsha Gummadi enrolled in Medicare?

Yes. Sriharsha Gummadi 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 Sriharsha Gummadi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sriharsha Gummadi 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 Sriharsha Gummadi affiliated with any hospitals?

According to CMS data, Sriharsha Gummadi is affiliated with Jefferson Health- Northeast and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Sriharsha Gummadi was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.