Mr Gautham Reddy Kandukuri, MD - Medicare Radiology in Reedsport, OR

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Mr Gautham Reddy Kandukuri, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Reedsport, Oregon. His current practice location is Po Box 343, Reedsport, Oregon. You can reach out to his office (for appointments etc.) via phone at (816) 800-9020.

Mr Gautham Reddy Kandukuri is licensed to practice in Oregon (license number MD211277) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174979462.

Contact Information

Mr Gautham Reddy Kandukuri, MD
Po Box 343,
Reedsport, OR 97467-0343
(816) 800-9020
Not Available

Map and Direction




Physician's Profile

Full NameMr Gautham Reddy Kandukuri
GenderMale
SpecialityRadiology - Vascular & Interventional Radiology
LocationPo Box 343, Reedsport, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174979462
  • Provider Enumeration Date: 05/05/2016
  • Last Update Date: 05/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5890086680
  • Enrollment ID: I20230104001879

Medical Identifiers

Medical identifiers for Mr Gautham Reddy Kandukuri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174979462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 14217294-1205 (Utah)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology MD211277 (Oregon)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. Mr Gautham Reddy Kandukuri allows following entities to bill medicare on his behalf.
Entity NameLower Umpqua Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003874819
PECOS PAC ID: 6800703562
Enrollment ID: O20040212000228
Entity NameBay Area Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225016561
PECOS PAC ID: 2163331000
Enrollment ID: O20040310000301
Entity NameBaker Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396807319
PECOS PAC ID: 3779689807
Enrollment ID: O20190201002544
Entity NameGreator Missouri Imaging Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851144539
PECOS PAC ID: 0244777316
Enrollment ID: O20240930001683
Entity NameInspire Radiology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487485181
PECOS PAC ID: 2365975216
Enrollment ID: O20241030003301
Entity NameInspire Radiology Group 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396570644
PECOS PAC ID: 1355870460
Enrollment ID: O20250127000454

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. Mr Gautham Reddy Kandukuri 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
Mr Gautham Reddy Kandukuri, MD
2301 Holmes Street,
Kansas City, MO 64108

Ph: (816) 404-4175		Mr Gautham Reddy Kandukuri, MD
Po Box 343,
Reedsport, OR 97467-0343

Ph: (816) 800-9020

Reviews and Comments


Radiology Doctors in Reedsport, OR


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).

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