Gundumalla S Goud, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35044133 Issued in OH

Practice address

7500 Auburn Rd # 2300
Concord TWP, OH 44077-9176

Phone

(440) 350-7444

Fax

(440) 350-7440

NPI assigned

Jun 21, 2005

Last updated

Sep 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gundumalla S Goud MD Inc

  • Internal Medicine Physician
  • Concord TWP, OH
  • NPI 1447427414
  Authorized official Same address or phone
• University Primary Care Practices Inc

  dba UPCP Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1154375681

  Internal Medicine

  NPD (past)
• University Primary Care Practices Inc

  dba UH North Olmsted Urgent Care

  • Urgent Care Clinic/Center
  • North Olmsted, OH
  • NPI 1467533885
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1356347876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FL",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "216-692-1144",
            "fax_number": "216-201-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 AUBURN RD # 2300",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779176",
            "telephone_number": "440-350-7444",
            "fax_number": "440-350-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUD",
        "first_name": "GUNDUMALLA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35044133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0468480",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Ferenczy, PA-C
• Milagres Martin Fernandes, MD
• Fioritto Family Dental Concord, LLC
• Fit 4 Life Physical Therapy
• Samantha Froimson
• Karen Renee Grassie, M.D.
• Gundumalla S Goud MD Inc
• Healthspan Integrated Care
• Catherine E Helkey, AU.D.
• Greg Hoffert

• Internal Medicine Physician in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.