Dr Sujana Gottumukkala, MD - Medicare Radiology in Portland, ME

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Dr Sujana Gottumukkala, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Portland, Maine. Her current practice location is 22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 482-7800.

Dr Sujana Gottumukkala is licensed to practice in Maine (license number MD26872) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134613730.

Contact Information

Dr Sujana Gottumukkala, MD
22 Bramhall St,
Portland, ME 04102-3134
(207) 482-7800
(207) 482-7898

Map and Direction




Physician's Profile

Full NameDr Sujana Gottumukkala
GenderFemale
SpecialityRadiology - Radiation Oncology
Location22 Bramhall St, Portland, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134613730
  • Provider Enumeration Date: 06/18/2018
  • Last Update Date: 05/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5496002875
  • Enrollment ID: I20230801003926

Medical Identifiers

Medical identifiers for Dr Sujana Gottumukkala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134613730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology 25239 (New Hampshire)Secondary
2085R0001XRadiology - Radiation Oncology MD26872 (Maine)Primary

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 Sujana Gottumukkala allows following entities to bill medicare on her behalf.
Entity NameMaine Center For Cancer Medicine & Blood Disorders Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205896107
PECOS PAC ID: 0840195186
Enrollment ID: O20031201000458
Entity NameSpectrum Healthcare Partners, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669488011
PECOS PAC ID: 7618871245
Enrollment ID: O20040423000266
Entity NameSpectrum Healthcare Partners, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669488011
PECOS PAC ID: 7618871245
Enrollment ID: O20040423000305
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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 Sujana 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 Sujana Gottumukkala, MD
324 Gannett Dr Ste 200,
South Portland, ME 04106-3266

Ph: (207) 482-7800		Dr Sujana Gottumukkala, MD
22 Bramhall St,
Portland, ME 04102-3134

Ph: (207) 482-7800

Reviews and Comments


Radiology Doctors in Portland, ME

Michael O'malley Quinn, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2571    
Elena Leah Resnick, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2571    
Matthew D Ralston, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2571    
Jerald Christopher Kuhn, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 144 State St, Portland, ME 04101
Phone: 207-879-3000    
Whitney H Beeler, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-4735    Fax: 207-662-6388
David Russell Langdon, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 144 State St, Portland, ME 04101
Phone: 207-879-3000    
Ethan M Dobrow, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2526    

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.