DR. PADMINI GUNADEVA MD
NPI 1962451849
Family Medicine in Lilburn, GA

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
25.95/100
CMS Quality Rating
455 BEAVER RUIN RD NW, LILBURN, GA 30047(770) 923-7778(770) 806-1383 Get Directions Write a Review

NPPES record last updated: January 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2023, May 17, 2022 (2 updates tracked since 2022).

About Dr. Padmini Gunadeva Md NPPES

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

DR. PADMINI GUNADEVA MD (NPI 1962451849) is an individual family medicine provider in Lilburn, Georgia, licensed in Georgia (044734) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962451849
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PADMINI GUNADEVACredential: MD
Location Address455 BEAVER RUIN RD NWLilburn, GA 30047-3413
Mailing Address10600 Medlock Bridge RdDuluth, GA 30097-8404
Fax(770) 806-1383
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateMay 9, 2006
Last NPPES UpdateJanuary 14, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
NPI 1962451849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 044734
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
455 BEAVER RUIN RD NW, Lilburn, GA 30047

Secondary Practice Locations 2

Location 1175 N Broad StWinder, GA 30680-2153 · Phone (770) 868-1144 · Fax (770) 868-1276
Location 22764 Main St WSnellville, GA 30078-5708 · Phone (770) 978-3388 · Fax (770) 978-0807

Accepted 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

Dr. Padmini Gunadeva 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 ID8729266226
PECOS Enrollment IDI20110706000101
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 18

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
363 services192 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.
317 services170 patients
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.
224 services132 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
119 services119 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
116 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
92 services92 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

25.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost86.52

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims30 services$6.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
455 BEAVER RUIN RD NW
LILBURN, GA 30047
Clinic/Center (Multi-Specialty)
455 BEAVER RUIN RD NW
LILBURN, GA 30047
Internal Medicine
455 BEAVER RUIN RD NW
LILBURN, GA 30047
Internal Medicine
455 BEAVER RUIN RD NW
LILBURN, GA 30047

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 Padmini Gunadeva's NPI number?

The NPI number for Padmini Gunadeva is 1962451849. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Padmini Gunadeva located?

Padmini Gunadeva practices at 455 Beaver Ruin Rd NW, Lilburn, GA 30047. The listed phone number is (770) 923-7778.

What is Padmini Gunadeva's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Padmini Gunadeva enrolled in Medicare?

Yes. Padmini Gunadeva 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 Padmini Gunadeva accept?

Health plans from Alliant Health Plans, Inc. list Padmini Gunadeva 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 Padmini Gunadeva affiliated with any hospitals?

According to CMS data, Padmini Gunadeva is affiliated with Northside Hospital Gwinnett and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Padmini Gunadeva was last updated on January 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.