Pridvi Gautham Kandagatla, MD - Medicare Colorectal Surgery (proctology) in Saint Paul, MN

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Pridvi Gautham Kandagatla, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Saint Paul, Minnesota. He went to Wayne State University School Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Minnesota Oncology Hematology Pa, Minnesota Oncology Hematology Pa, Fairview Health Services, Fairview Express Care and his current practice location is 1983 Sloan Pl Ste 11, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 312-1620.

Pridvi Gautham Kandagatla is licensed to practice in Minnesota (license number 71756) 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 1346668555.

Contact Information

Pridvi Gautham Kandagatla, MD
1983 Sloan Pl Ste 11,
Saint Paul, MN 55117-2004
(651) 312-1620
(651) 312-1570

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Physician's Profile

Full NamePridvi Gautham Kandagatla
GenderMale
SpecialityColorectal Surgery (proctology)
Experience12 Years
Location1983 Sloan Pl Ste 11, Saint Paul, Minnesota
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:
  • Pridvi Gautham Kandagatla attended and graduated from Wayne State University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1346668555
  • Provider Enumeration Date: 04/03/2014
  • Last Update Date: 11/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981829850
  • Enrollment ID: I20220806000730

Medical Identifiers

Medical identifiers for Pridvi Gautham Kandagatla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346668555NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208C00000XColon & Rectal Surgery 71756 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
United HospitalSaint paul, MNHospital
M Health Fairview Ridges HospitalBurnsville, MNHospital
M Health Fairview St John's HospitalMaplewood, MNHospital
Abbott Northwestern HospitalMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minnesota Oncology Hematology Pa6709799752131
Minnesota Oncology Hematology Pa6709799752131
Fairview Health Services1951213057677
Fairview Express Care33756451791946

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. Pridvi Gautham Kandagatla allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811077175
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameMinnesota Oncology Hematology PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528035995
PECOS PAC ID: 6709799752
Enrollment ID: O20031106000626
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Pridvi Gautham Kandagatla 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
Pridvi Gautham Kandagatla, MD
4200 Dahlberg Dr Ste 300,
Golden Valley, MN 55422-4841

Ph: (952) 512-5600		Pridvi Gautham Kandagatla, MD
1983 Sloan Pl Ste 11,
Saint Paul, MN 55117-2004

Ph: (651) 312-1620

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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.