Praveen Guturu, MBBS, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD60329062 Issued in WA

Practice address

11027 Meridian Ave N Ste 100
Seattle, WA 98133-1705

Phone

(206) 365-4492

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Gastroenterology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Puget Sound Gastroenterology PLLCGroup PAC ID 1759278252, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

Merit-based Incentive Payment System (MIPS)

Final score

79.82 of 100Reported as group

Quality

54.75

Promoting interoperability

98

Improvement activities

40

Cost

79.66

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pguturu977617@direct.ehre.uwmedicine.org
• Direct secure messaging: praveen.guturu@gastrohealth.eclinicaldirectplus.com

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.

• Puget Sound Gastroenterology, PLLC

  dba PSG Division of Pathology

  • Clinical Medical Laboratory
  • Lynnwood, WA
  • NPI 1689646838
  Medicare reassignment Care Compare group NPD
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1396810701
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Renton, WA
  • NPI 1124264577
  NPD
• Kaiser Foundation Health Plan of Washington

  dba Everett Medical Center

  • Multi-Specialty Clinic/Center
  • Everett, WA
  • NPI 1386935351
  NPD
• Puget Sound Gastroenterology, PLLC

  • Gastroenterology Physician
  • Olympia, WA
  • NPI 1386340164
  NPD
• Puget Sound Gastroenterology, PLLC

  dba Seattle Gastroenterology Associates

  • Gastroenterology Physician
  • Seattle, WA
  • NPI 1649212606
  NPD
• Puget Sound Gastroenterology, PLLC

  dba Seattle Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1720059348
  NPD
• Puget Sound Gastroenterology, PLLC

  dba Fremont Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1386615912
  NPD (past)
• Puget Sound Gastroenterology, PLLC

  dba Puget Sound Gastroenterology at Kirkland

  • Gastroenterology Physician
  • Kirkland, WA
  • NPI 1427185388
  NPD (past)
• Galloway Anesthesia Associates LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1689989139
  NPD (past)

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

• Swedish Edmonds

  • General Acute Care Hospital
  • Edmonds, WA
  • NPI 1033107214
  Care Compare affiliation
• Swedish Edmonds

  • Clinical Medical Laboratory
  • Edmonds, WA
  • NPI 1699894022

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1285825463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "305-468-4185",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11027 MERIDIAN AVE N STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981331705",
            "telephone_number": "206-365-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTURU",
        "first_name": "PRAVEEN",
        "name_prefix": "Dr.",
        "credential": "MBBS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP1-0028946",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60329062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 4651532892",
            "identifier": "4651532892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Gutmann, LSW
• Katie Shannon Guts
• Bernhard Gutsche, RN
• Allison Louise Gutscher, LMHC, SUDP
• Aditya Gutta, M.D.
• Jessica Gutwein
• Kelsey Gutwein
• Guy R. Boswell,O.D. LLC
• John Guy, M.A.
• Robyn Elizabeth Guy, R.PH.

• Gastroenterology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.