Uma Gowri Gunnala, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25443 Issued in AZ

Practice address

20045 N 19TH Ave BLDG 11
Suite 165
Phoenix, AZ 85027-4252

Phone

(623) 572-6791

Fax

(623) 572-7099

NPI assigned

Oct 27, 2006

Last updated

Mar 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 AZ

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: uma.gunnala.1@15202.direct.athenahealth.com

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.

• Dr. Uma Gunnala M.D., P.C.

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1861911786
  Authorized official Same address or phone

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1881770220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20045 N 19TH AVE BLDG 11",
            "address_2": "SUITE 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274252",
            "telephone_number": "602-572-6791",
            "fax_number": "623-572-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20045 N 19TH AVE BLDG 11",
            "address_2": "SUITE 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274252",
            "telephone_number": "623-572-6791",
            "fax_number": "623-572-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNALA",
        "first_name": "UMA",
        "middle_name": "GOWRI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403379",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie M Gundy
• Margaret Elizabeth Gunn, APRN RC WHNP BC
• Thomas Lee Gunn, MD
• Shailaja Gunnala, MD
• Sujatha Gunnala, M.D.
• Vinay Gunnala, M.D.
• Vishal Gunnala
• Gordon Alan Gunnell, MS, LMFT, LISAC
• Talan Gunnell, DO
• Hannah Gunnerson, MS, RDN, CNSC

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.