Active NPI
Pradeep Reddy Gujja, MD
- Cardiovascular Disease Physician
- Springfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35092832
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091006000265 | OH | Practitioner - Cardiac Electrophysiology | 4082750013 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Mercy Health - Urbana Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.96 of 100
- Quality
- 86.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.61
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35092832 | OH | MD | Cardiovascular Disease Physician |
| 92832 | OH | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Springfield Specialty Care LLC | Cardiovascular Disease | Current | 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
- 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.
-
- Surgery Physician
- Springfield, OH
- NPI 1790308104
Cardiovascular Disease, OH
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
-
- Internal Medicine Physician
- Fairfield, OH
- NPI 1508900226
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.