Dr Jyothi Dyavanapalli Gudla, MD - Medicare Internal Medicine in Canton, OH

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Dr Jyothi Dyavanapalli Gudla, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Canton, Ohio. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Neogeriatrics and her current practice location is 4808 Munson St Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 622-0207.

Dr Jyothi Dyavanapalli Gudla is licensed to practice in Ohio (license number 35.083145) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194872713.

Contact Information

Dr Jyothi Dyavanapalli Gudla, MD
4808 Munson St Nw,
Canton, OH 44718-3613
(330) 622-0207
(330) 832-3499

Map and Direction




Physician's Profile

Full NameDr Jyothi Dyavanapalli Gudla
GenderFemale
SpecialityInternal Medicine
Experience28 Years
Location4808 Munson St Nw, Canton, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jyothi Dyavanapalli Gudla graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1194872713
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 08/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1254318975
  • Enrollment ID: I20090707000248

Medical Identifiers

Medical identifiers for Dr Jyothi Dyavanapalli Gudla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194872713NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35-083145 (Ohio)Secondary
207R00000XInternal Medicine 35.083145 (Ohio)Secondary
208M00000XHospitalist 35-083145 (Ohio)Secondary
207RG0300XInternal Medicine - Geriatric Medicine 35.083145 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Care YoungstownAustintown, OHHospice
Crossroads Hospice Of Northeast Ohio, LlcUniontown, OHHospice
Sprenger Hospice IncLorain, OHHospice
Lifecare HospiceWooster, OHHospice
Aultman HospiceCanton, OHHospice
Wooster Community HospitalWooster, OHHospital
Mercy Medical CenterCanton, OHHospital
Smithville Western Care CenterWooster, OHNursing home
Glenwood Care And RehabilitationCanton, OHNursing home
Hanover HouseMassillon, OHNursing home
Shady Lawn Nursing HomeDalton, OHNursing home
Saint Luke Lutheran HomeNorth canton, OHNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Neogeriatrics76180228492

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jyothi Dyavanapalli Gudla allows following entities to bill medicare on her behalf.
Entity NameNeogeriatrics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124259536
PECOS PAC ID: 7618022849
Enrollment ID: O20090911000162
Entity NameWound Care Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831495373
PECOS PAC ID: 2567646359
Enrollment ID: O20110401000409
Entity NameNovus Health And Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841654886
PECOS PAC ID: 7416241823
Enrollment ID: O20160808002786

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jyothi Dyavanapalli Gudla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jyothi Dyavanapalli Gudla, MD
7123 Mossy Oaks Ave Nw,
Massillon, OH 44646-9107

Ph: (330) 622-0207		Dr Jyothi Dyavanapalli Gudla, MD
4808 Munson St Nw,
Canton, OH 44718-3613

Ph: (330) 622-0207

Reviews and Comments


Internal Medicine Doctors in Canton, OH

Nishad Avinash Barve,
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708
Phone: 330-489-1000    
Todd L Johnson, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718
Phone: 330-489-1386    Fax: 330-489-1258
John C Tsai, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718
Phone: 330-489-1386    Fax: 330-489-1258
David Andrew Beard, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2600 6th St Sw, Canton, OH 44710
Phone: 330-363-2180    
Yara Khouri, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Sixth St Sw, Canton, OH 44710
Phone: 330-363-6235    
Dr. Mitchell Haut, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1455 Harrison Ave Nw, Ste 105, Canton, OH 44708
Phone: 330-453-9993    Fax: 330-453-9996
Ramana Podugu, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2600 6th St Sw, Suite A2-710, Canton, OH 44710
Phone: 330-454-8076    Fax: 330-454-3927

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.