Dr Ganapathi Gottumukkala, MD - Medicare Family Practice in Saint John, IN

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Dr Ganapathi Gottumukkala, MD is a medicare enrolled "Family Medicine" physician in Saint John, Indiana. He graduated from medical school in 1983 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northwestern Medical Faculty Foundation, Community Care Network Inc and his current practice location is 9660 Wicker Ave, Saint John, Indiana. You can reach out to his office (for appointments etc.) via phone at (193) 651-1772.

Dr Ganapathi Gottumukkala is licensed to practice in Indiana (license number 01086883A) 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 1780683953.

Contact Information

Dr Ganapathi Gottumukkala, MD
9660 Wicker Ave,
Saint John, IN 46373-9487
(193) 651-1772
(219) 703-6662

Map and Direction




Physician's Profile

Full NameDr Ganapathi Gottumukkala
GenderMale
SpecialityFamily Practice
Experience42 Years
Location9660 Wicker Ave, Saint John, Indiana
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 Ganapathi Gottumukkala graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1780683953
  • Provider Enumeration Date: 07/19/2005
  • Last Update Date: 09/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709912538
  • Enrollment ID: I20100331000079

Medical Identifiers

Medical identifiers for Dr Ganapathi Gottumukkala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780683953NPI-NPPES
300057653MedicaidIN
036074987MedicaidIL
01625532OtherILBLUE SHIELD PROVIDER #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036074987 (Illinois)Secondary
207Q00000XFamily Medicine 01086883A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community HospitalMunster, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143871
Community Care Network Inc3678737012355

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 Ganapathi Gottumukkala allows following entities to bill medicare on his behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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 Ganapathi Gottumukkala 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 Ganapathi Gottumukkala, MD
8558 Broadway,
Merrillville, IN 46410-7032

Ph: (219) 392-7084		Dr Ganapathi Gottumukkala, MD
9660 Wicker Ave,
Saint John, IN 46373-9487

Ph: (193) 651-1772

Reviews and Comments


Family Medicine Doctors in Saint John, IN

Dr. Dana Elsherif, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10860 Maple Ln, Saint John, IN 46373
Phone: 219-365-7000    Fax: 219-365-2609
Shalini Patel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9660 Wicker Ave, Saint John, IN 46373
Phone: 219-365-1166    Fax: 219-226-2222
David Deschepper, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10860 Maple Ln, Saint John, IN 46373
Phone: 219-365-7000    Fax: 219-365-2609

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.