Praveena Gandikota, MD - Medicare Endocrinology in Upland, PA

Praveena Gandikota, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Upland, Pennsylvania. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice Prospect Health Access Network Inc and her current practice location is One Medical Center Blvd, Suite 424, Upland, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 338-1820.

Praveena Gandikota is licensed to practice in Pennsylvania (license number MD440569) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285849513.

Contact Information

Praveena Gandikota, MD
One Medical Center Blvd, Suite 424,
Upland, PA 19013
(610) 338-1820
(610) 338-1825

Map and Direction




Physician's Profile

Full NamePraveena Gandikota
GenderFemale
SpecialityEndocrinology
Experience20 Years
LocationOne Medical Center Blvd, Upland, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Praveena Gandikota graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1285849513
  • Provider Enumeration Date: 05/11/2007
  • Last Update Date: 10/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0547459869
  • Enrollment ID: I20110118000587

Medical Identifiers

Medical identifiers for Praveena Gandikota such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285849513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism MD440569 (Pennsylvania)Primary
390200000XStudent In An Organized Health Care Education/training Program MT 185538 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crozer Chester Medical CenterUpland, PAHospital
Delaware County Memorial HospitalDrexel hill, PAHospital
Riddle Memorial HospitalMedia, PAHospital
Main Line Hospital LankenauWynnewood, PAHospital
Christiana HospitalNewark, DEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prospect Health Access Network Inc5698065142196

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. Praveena Gandikota allows following entities to bill medicare on her behalf.
Entity NameProspect Health Access Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568819084
PECOS PAC ID: 5698065142
Enrollment ID: O20160613000737

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. Praveena Gandikota 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
Praveena Gandikota, MD
One Medical Center Blvd, Suite 424,
Upland, PA 19013

Ph: (610) 338-1820
Praveena Gandikota, MD
One Medical Center Blvd, Suite 424,
Upland, PA 19013

Ph: (610) 338-1820

Reviews and Comments


Internal Medicine Doctors in Upland, PA

George Randolph Westby, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013
Phone: 610-872-8501    Fax: 610-872-5188
Sat P. Arora, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013
Phone: 610-872-8501    Fax: 610-872-5188
Kenneth R Lander, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Center Blvd, Suite 202, Upland, PA 19013
Phone: 610-447-8840    Fax: 610-447-8895
Chike Nathan Okechukwu, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013
Phone: 610-872-8501    Fax: 610-872-5188
Humaira Mahbub, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Center Blvd, Suite 404, Upland, PA 19013
Phone: 610-619-8590    Fax: 610-619-8591
W Alan Keogh, DO
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Blvd, Ste 341, Upland, PA 19013
Phone: 610-619-7420    Fax: 610-876-6923
Roy G. Marcus, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013
Phone: 610-872-8501    Fax: 610-872-5188

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.