RADHARANI S. GOLLAMUDI (M.D.) – Internal Medicine Physician, NPI 1245287713

RADHARANI S. GOLLAMUDI (M.D.) is a healthcare provider. based in Daytona beach, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01072789A (IN). The NPI Number for RADHARANI S. GOLLAMUDI (M.D.) is 1245287713

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
RADHARANI S. GOLLAMUDI (M.D.)
NPI
1245287713
Phone
(386) 238-9064
Address
1630 MASON AVE STE C
Enumeration Date
28 May 2006
Last Update Date
7 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862389064
Graduation Year
2001 (25 years ago)
PAC ID
0547271652
Group Practice PAC ID
0840534160
Professional Enrollment ID
I20110701000152
Address ID
FL321174503DA1630XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for RADHARANI S. GOLLAMUDI (M.D.)

  • 1630 MASON AVE STE C

    DAYTONA BEACH, FL 321174503

    Phone: (386) 238-9064

    Fax: (386) 238-9064

    Type: Location

  • 5150, Shelbyville Road, Indianapolis, Marion, Indiana, 46237, United States

    INDIANAPOLIS, IN 462372601

    Phone: (317) 782-1577

    Fax: (888) 366-7577

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,012.

Total Amount is formed as General ($1,012) + Research ($0) + Ownership ($0) = $1,012.

Last reported payment date: 2024-11-02 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($359).

Total Amount

$1,012

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,012

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-02

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: 2011-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20110701000152IInternal MedicineFLTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2,057626$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes486417$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes232155$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes197185$0
99497Advance care planning, first 30 minutes8278$0
View full utilization report →

Insurance plans in this area (ZIP 32117)

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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: 0840534160View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerMI
Nurse PractitionerFL
Nurse PractitionerFL
Family Practice, HospitalistFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerSC

Reviews

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Frequently asked questions

Can I cross-check RADHARANI S. GOLLAMUDI (M.D.) using NPI 1245287713?
NPI 1245287713 belongs to RADHARANI S. GOLLAMUDI (M.D.); compare other details if you need extra assurance.
Is RADHARANI S. GOLLAMUDI (M.D.) still an active registrant?
RADHARANI S. GOLLAMUDI (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for RADHARANI S. GOLLAMUDI (M.D.)?
At a glance, RADHARANI S. GOLLAMUDI (M.D.) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is RADHARANI S. GOLLAMUDI (M.D.) associated with Daytona Beach?
Public fields place RADHARANI S. GOLLAMUDI (M.D.) around Daytona Beach, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for RADHARANI S. GOLLAMUDI (M.D.) is noted as May 28, 2006 where the registry provides it.