Preet Gudimella, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.146400 Issued in OH

Practice address

24 Hyde St
Wakeman, OH 44889-9301

Phone

(440) 839-2226

Fax

(440) 839-1339

NPI assigned

Mar 27, 2019

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fisher-Titus Hospital Hospital, Norwalk, OH, CCN 360065

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fisher-Titus Medical Care LLC

  • Family Medicine Physician
  • Norwalk, OH
  • NPI 1467636399
  Medicare reassignment Care Compare group NPD
• Fisher-Titus Medical Center

  • General Acute Care Hospital
  • Norwalk, OH
  • NPI 1992738959
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fisher-Titus Medical Center

  • General Acute Care Hospital
  • Norwalk, OH
  • NPI 1992738959
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1265993729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572374",
            "telephone_number": "419-668-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HYDE ST",
            "city": "WAKEMAN",
            "state": "OH",
            "postal_code": "448899301",
            "telephone_number": "440-839-2226",
            "fax_number": "440-839-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDIMELLA",
        "first_name": "PREET",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.146400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valer Cozma
• Christina Cummings
• Joyce Dedino, RN
• Kiley Beth Dill
• Lea Friend, OTR
• Preeti Gudimella, MD
• Hoppys Scooters & Medical Supplies, LLC
• Kawest Brothers LLC
• Paula Knott
• Christopher Kolmorgen

• Family Medicine Physician in Wakeman, OH
• Providers in Wakeman, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.