Individual provider Active NPI

Pradeep Reddy Gujja, MD

  • Cardiovascular Disease Physician
  • Springfield, OH
National Provider Identifier
1649465600
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35092832 Issued in OH
Practice address
100 W McCreight Ave
Springfield, OH 45504-1885
Phone
(937) 323-1404
Fax
(937) 523-9555
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.092832 OH
Clinical Cardiac Electrophysiology Physician 207RC0001X 92832 OH
Cardiovascular Disease Physician 207RC0000X 35092832 OH Primary

Addresses

Primary practice location

100 W McCreight Ave
Springfield, OH 45504-1885

Mailing address

100 W McCreight Ave
Springfield, OH 45504-1885
Phone (937) 323-1404

Other practice location 1

900 E Court St
Urbana, OH 43078-1887
Phone (937) 653-8897

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091006000265 OH Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082750013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians

Practice addresses (Care Compare)

100 W McCreight Ave
Suite 150
Springfield, OH 45504-1890
Phone (937) 323-1404

Hospital & facility affiliations

  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Mercy Health - Urbana Hospital Hospital, Urbana, OH, CCN 361312

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as individual
Quality
86.57
Promoting interoperability
100
Improvement activities
40
Cost
65.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35092832OHMDCardiovascular Disease Physician
92832OHMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Springfield Specialty Care LLC Cardiovascular Disease CurrentSince Sep 1, 2020 Accepting new patients
Community Mercy Health Partners Past Accepting new patients
Fairfield Hospitalists Inc Internal Medicine Past Accepting new patients

Locations

100 W McCreight Ave
Ste 150
Springfield, OH 45504
Phone (937) 323-1404

1911 E High St
Springfield, OH 45505
Phone (937) 323-1404

900 E Court St
Urbana, OH 43078
Phone (937) 653-8897

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

Interoperability endpoints

  • Direct secure messaging: pgujja4161@direct.bsmhealth.org

Organizations & group practices 3

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1649465600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MCCREIGHT AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041885",
            "telephone_number": "937-323-1404",
            "fax_number": "937-523-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MCCREIGHT AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041885",
            "telephone_number": "937-323-1404",
            "fax_number": "937-523-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Court St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "OH",
            "postal_code": "430781887",
            "country_code": "US",
            "telephone_number": "937-653-8897",
            "fax_number": "937-653-7261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUJJA",
        "first_name": "PRADEEP",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.092832",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "92832",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35092832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.