Dr Raja Ramesh Gummalla, MD - Medicare Hospitalist in Miami, FL

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Dr Raja Ramesh Gummalla, MD is a medicare enrolled "Internal Medicine" physician in Miami, Florida. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Florida Hospital Physician Group Inc and his current practice location is 1400 Nw 12th Ave, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 243-1959.

Dr Raja Ramesh Gummalla is licensed to practice in Florida (license number ME116336) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952618951.

Contact Information

Dr Raja Ramesh Gummalla, MD
1400 Nw 12th Ave,
Miami, FL 33136-1003
(305) 243-1959
Not Available

Map and Direction




Physician's Profile

Full NameDr Raja Ramesh Gummalla
GenderMale
SpecialityHospitalist
Experience17 Years
Location1400 Nw 12th Ave, Miami, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Raja Ramesh Gummalla graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1952618951
  • Provider Enumeration Date: 09/12/2010
  • Last Update Date: 08/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1456586635
  • Enrollment ID: I20131023001707

Medical Identifiers

Medical identifiers for Dr Raja Ramesh Gummalla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952618951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 125057359 (Illinois)Secondary
207R00000XInternal Medicine ME116336 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth TampaTampa, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Hospital Physician Group Inc2365679057437

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 Raja Ramesh Gummalla allows following entities to bill medicare on his behalf.
Entity NameAdventist Health System-sunbelt Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083692594
PECOS PAC ID: 0749232445
Enrollment ID: O20080401000861
Entity NameAdventist Health System-sunbelt Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578725941
PECOS PAC ID: 0749232445
Enrollment ID: O20080726000012
Entity NameCogent Healthcare Of Jacksonville, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124252333
PECOS PAC ID: 1759435944
Enrollment ID: O20090824000043
Entity NameFlorida Hospital Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174955256
PECOS PAC ID: 2365679057
Enrollment ID: O20131231000600
Entity NameSound Physicians Of Florida Iv, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740633635
PECOS PAC ID: 6002198082
Enrollment ID: O20170127000352
Entity NameHospitalist Medicine Physicians Of Florida - Ft. Lauderdale Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477032522
PECOS PAC ID: 5395081129
Enrollment ID: O20190115002079

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 Raja Ramesh Gummalla 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 Raja Ramesh Gummalla, MD
1400 Nw 12th Ave,
Miami, FL 33136-1003

Ph: (305) 243-1959		Dr Raja Ramesh Gummalla, MD
1400 Nw 12th Ave,
Miami, FL 33136-1003

Ph: (305) 243-1959

Reviews and Comments


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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.