Active NPI
Gowtham Roy Lingamaneni, M.D
- Surgery Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 72509
- Practice address
- 1325 Eastmoreland Ave Ste 310
Memphis, TN 38104-7544 - Phone
- (901) 758-7970
- Fax
- (901) 266-6425
- NPI assigned
- Jul 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34533 | MS | |
| Surgery Physician | 208600000X | 72509 | TN | Primary |
| Surgery Physician | 208600000X | 29019 | WV | |
| Surgery Physician | 208600000X | 0101267383 | VA |
Addresses
Primary practice location
1325 Eastmoreland Ave Ste 310
Memphis, TN 38104-7544
Mailing address
1211 Union Ave Ste 330
Memphis, TN 38104-6655
Other practice location 1
7655 Poplar Ave Ste 240
Germantown, TN 38138-3957
Phone (901) 758-7970
Other practice location 2
4240 Bethel Rd Ste 200
Olive Branch, MS 38654-8737
Phone (901) 758-7970
Other names 1
- Not Applicable Not Applicable
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- General Surgery
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Eastmoreland Ave
Suite 310
Memphis, TN 38104-7544
Phone (901) 272-6010
4240 Bethel Rd
Suite 200
Olive Branch, MS 38654-8737
Phone (901) 758-7970
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Methodist Physicians LLC | Surgery | Current | Accepting new patients |
| Ut Medical Group Inc | Surgery | Past | Accepting new patients |
Locations
4240 Bethel Rd
Ste 200
Olive Branch, MS 38654
Phone (901) 758-7970
7655 Poplar Ave
Ste 240
Germantown, TN 38138
Phone (901) 758-7970
7655 Poplar Ave
Bldg A
Germantown, TN 38138
Phone (901) 758-7970
1325 Eastmoreland Ave
Ste 310
Memphis, TN 38104
Phone (901) 272-6010
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785
Organizations & group practices 2
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.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1891137485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 UNION AVE STE 330",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 EASTMORELAND AVE STE 310",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381047544",
"telephone_number": "901-758-7970",
"fax_number": "901-266-6425"
}
],
"practiceLocations": [
{
"address_1": "7655 Poplar Ave Ste 240",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381383957",
"country_code": "US",
"telephone_number": "901-758-7970",
"fax_number": "901-266-6425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4240 Bethel Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Olive Branch",
"state": "MS",
"postal_code": "386548737",
"country_code": "US",
"telephone_number": "901-758-7970",
"fax_number": "901-266-6425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINGAMANENI",
"first_name": "GOWTHAM",
"middle_name": "ROY",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-23",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "34533",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "72509",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "29019",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101267383",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NOT APPLICABLE",
"last_name": "NOT APPLICABLE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.