Active NPI
Rajani Gundluru, M.D
- Endocrinology, Diabetes & Metabolism Physician
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 102351
- Practice address
- 3350 Paddocks Pkwy
Suwanee, GA 30024-9119 - Phone
- (850) 559-2377
- NPI assigned
- Aug 3, 2010
- Last updated
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 102351 | GA | Primary |
Addresses
Primary practice location
3350 Paddocks Pkwy
Suwanee, GA 30024-9119
Mailing address
2530 Carthage LN
Tallahassee, FL 32312-4859
Phone (850) 559-2377
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200091455 | Medicaid | MO | |
| 250985 | Other | MI | BCBS |
| 1366756231 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200
3340 Paddock Pkwy
Suwanee, GA 30024-9119
Phone (678) 679-6210
3350 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633
3380 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102351 | GA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Internal Medicine | Current | Accepting new patients |
| North Atlanta Professional Services LLC | Hospitalist | Current | Accepting new patients |
| Northside Primary Care Professional Services, LLC | Current | Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021
1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
Interoperability endpoints
- rajanigundluru@tmhpp.allscriptsdirect.net
- rgundluru21846@tallahasseememorial.direct-ci.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
-
- Urgent Care Clinic/Center
- Dawsonville, GA
- NPI 1215369715
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1487932422
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1366756231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 CARTHAGE LN",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323124859",
"telephone_number": "850-559-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 PADDOCKS PKWY",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300249119",
"telephone_number": "850-559-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNDLURU",
"first_name": "RAJANI",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "102351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200091455",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "250985",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366756231",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.