Dr Naveen Kumar Gummadi, MD - Medicare Internal Medicine in Youngstown, OH

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Dr Naveen Kumar Gummadi, MD is a medicare enrolled "Internal Medicine" physician in Youngstown, Ohio. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospitalist Medicine Physicians Of Texas Pllc, Daiya Healthcare Pllc and his current practice location is 500 Gypsy Lane, Youngstown, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 884-4250.

Dr Naveen Kumar Gummadi is licensed to practice in New Mexico (license number MD2018-0819) 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 1558711606.

Contact Information

Dr Naveen Kumar Gummadi, MD
500 Gypsy Lane,
Youngstown, OH 44501
(330) 884-4250
(330) 884-0651

Map and Direction




Physician's Profile

Full NameDr Naveen Kumar Gummadi
GenderMale
SpecialityInternal Medicine
Experience19 Years
Location500 Gypsy Lane, Youngstown, Ohio
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 Naveen Kumar Gummadi graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1558711606
  • Provider Enumeration Date: 06/20/2016
  • Last Update Date: 07/02/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1355677386
  • Enrollment ID: I20190729000776

Medical Identifiers

Medical identifiers for Dr Naveen Kumar Gummadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558711606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD2018-0819 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Presbyterian HospitalAlbuquerque, NMHospital
La Vida LlenaAlbuquerque, NMNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospitalist Medicine Physicians Of Texas Pllc3476688318951
Daiya Healthcare Pllc6002158615108

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 Naveen Kumar Gummadi allows following entities to bill medicare on his behalf.
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20151019001400
Entity NameHospitalist Medicine Physicians Of New Mexico-tcg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376022822
PECOS PAC ID: 7810248218
Enrollment ID: O20180925000799
Entity NameDaiya Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477027381
PECOS PAC ID: 6002158615
Enrollment ID: O20200903001256
Entity NameElite Patient Care New Mexico Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598352015
PECOS PAC ID: 9335553197
Enrollment ID: O20210208000410
Entity NameCogent Healthcare Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20210216003259
Entity NameCh Specialty Services Nm Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346943685
PECOS PAC ID: 5496120883
Enrollment ID: O20230418000479

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 Naveen Kumar Gummadi 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 Naveen Kumar Gummadi, MD
500 Gypsy Lane,
Youngstown, OH 44501

Ph: (330) 884-4250		Dr Naveen Kumar Gummadi, MD
500 Gypsy Lane,
Youngstown, OH 44501

Ph: (330) 884-4250

Reviews and Comments


Internal Medicine Doctors in Youngstown, OH

Dr. Khaled Al-taieb, M.D.
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Practice Location: 465 Gypsy Ln Apt 407, Youngstown, OH 44504
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Dr. Michael Allen Van Winkle, D.O
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Dr. Ayesha Khadka, M.D.
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Dr. Ghazaleh Bigdeli, M.D.
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Dr. Jeffrey C Halley, MD
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Practice Location: 250 Debartolo Pl, Suite 2750, Youngstown, OH 44512
Phone: 330-758-7703    Fax: 330-758-4930
Dr. Masud R Bhatti, M.D.
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Practice Location: 835 Southwestern Run, Youngstown, OH 44514
Phone: 330-318-1100    
Chakri Yarlagadda, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1001 Belmont Ave, Youngstown, OH 44504
Phone: 330-747-6446    Fax: 330-747-6843

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.