DR. MUDITA GOGNA (M.D.) – Allergy & Immunology Physician, NPI 1235391640

DR. MUDITA GOGNA (M.D.) is a healthcare provider. based in Fair oaks, California. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. 245775 (MA). The NPI Number for DR. MUDITA GOGNA (M.D.) is 1235391640

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MUDITA GOGNA (M.D.)
NPI
1235391640
Phone
(916) 962-3112
Address
6600 Mercy Ct Ste 180B
Enumeration Date
26 June 2008
Last Update Date
14 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9167366644
Graduation Year
2004 (22 years ago)
PAC ID
7416133111
Group Practice PAC ID
6204905342
Professional Enrollment ID
I20190807001751
Address ID
CA956613047RO1528XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

525 ALLERGY/IMMUNOLOGY in CA

Provider Addresses for DR. MUDITA GOGNA (M.D.)

  • 6600 Mercy Ct Ste 180B

    Fair Oaks, CA 956283198

    Phone: (916) 962-3112

    Fax: (916) 962-1536

    Type: Location

  • 1561 Creeekside Dr

    Ste 180

    Folsom, CA 95630

    Phone: (916) 984-8830

    Fax: (916) 984-8834

    Type: Location

  • 1111 EXPOSITION BLVD BLDG 700

    SACRAMENTO, CA 958154314

    Phone: (916) 736-3399

    Fax: (916) 736-3350

    Type: Mailing

  • Eureka Road, Roseville, Placer County, California, 95661, United States

    ROSEVILLE, CA 956613047

    Phone: (916) 736-6644

    Fax: (916) 774-0143

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,079.

Total Amount is formed as General ($1,079) + Research ($0) + Ownership ($0) = $1,079.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($423).

Total Amount

$1,079

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,079

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110513000413IAllergy/ImmunologyMATBD
I20190807001751IAllergy/ImmunologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract2,93154$0
95165Professional service for preparation and provision of 1 or more antigens2,51066$0
95117Professional service for multiple injections of allergen1,13965$0
95024Test for allergy using allergenic extract injected into skin22020$0
95115Professional service for single injection of allergen17213$0
View full utilization report →

Insurance plans in this area (ZIP 95628)

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Provider's Procedures

DR. MUDITA GOGNA (M.D.) performs procedures in ALLERGY/IMMUNOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYMA95117Injection of incremental dosages of allergen, 2 or more injections13360

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204905342View full group profile
NameSpecialtyState
-CA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
O T O L A R Y N G O L O G YCA
O T O L A R Y N G O L O G YCA
O T O L A R Y N G O L O G YCA
Qualified AudiologistTN
Qualified AudiologistCA
Nurse PractitionerCA

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Frequently asked questions

How do I look up DR. MUDITA GOGNA (M.D.) by NPI?
Use NPI 1235391640 when you need to reference DR. MUDITA GOGNA (M.D.) in forms, claims, or directories.
Is DR. MUDITA GOGNA (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. MUDITA GOGNA (M.D.) list a primary specialty?
If you are matching referrals, note Allergy & Immunology Physician for DR. MUDITA GOGNA (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MUDITA GOGNA (M.D.)?
The page summarizes Fair Oaks, California for DR. MUDITA GOGNA (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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