Goutham Mandadi, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

0101246730 Issued in VA

Practice address

600 W Ridge Rd
Wytheville, VA 24382-1044

Phone

(276) 228-0200

NPI assigned

Feb 22, 2010

Last updated

Apr 26, 2019By 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

Medicare fee-for-service enrollment

Enrolled in VA

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

Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Associates P.a., P.C.Group PAC ID 8022914522, 706 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097
• Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067

Merit-based Incentive Payment System (MIPS)

Final score

81.6 of 100Reported as group

Quality

76.36

Improvement activities

40

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.

• Emergency Medicine Associates, P.a.,P.C.

  • Internal Medicine Physician
  • Dulles, VA
  • NPI 1376917070
  Medicare reassignment Care Compare group NPD
• Alexandria Springfield Emergency Physicians PC

  • Emergency Medicine Physician
  • Franklin, VA
  • NPI 1740529700
  Medicare reassignment NPD
• Alexandria Springfield Emergency Physicians PC

  • Emergency Medicine Physician
  • Alexandria, VA
  • NPI 1720839764
  NPD
• Emergency Medicine Associates P.a., P.C.

  • Internal Medicine Physician
  • Culpeper, VA
  • NPI 1881559102
  NPD
• Wythe County Physician Practices LLC

  • Diagnostic Radiology Physician
  • Wytheville, VA
  • NPI 1457168494
  NPD (past)
• Wythe County Physician Practices LLC

  • Family Medicine Physician
  • Wytheville, VA
  • NPI 1780630327
  NPD (past)
• Arnot Medical Services PLLC

  • Internal Medicine Physician
  • Elmira, NY
  • NPI 1427326768
  NPD (past)
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441
  NPD (past)

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

• Bon Secours Mercy Health Emporia LLC

  dba Bon Secours Southern Virginia Medical Center

  • General Acute Care Hospital
  • Emporia, VA
  • NPI 1104461276
  Care Compare affiliation
• Bon Secours Mercy Health Petersburg LLC

  dba Bon Secours - Southside Medical Center

  • General Acute Care Hospital
  • Petersburg, VA
  • NPI 1720623853
  Care Compare affiliation

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1528380243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821044",
            "telephone_number": "276-228-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 N Main St",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "VA",
            "postal_code": "238471274",
            "country_code": "US",
            "telephone_number": "775-240-6343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDADI",
        "first_name": "GOUTHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101246730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Luper, LPC
• Lutheran Family Service of Virginia, Inc.
• Christine Elizabeth Macquarrie, LBA
• Debra Shortridge Magee, FNP
• Noah A. Malavolti, D.C.
• Mary Beth Marinus, CFNP
• Mark T. Larsen, LPC LLC
• Tracy Lee Mathena, MD
• Elizabeth B Matthews, LICENSED PHYSICAL TH
• Amanda McBride

• Hospitalist Physician in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Hospitalist Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.