DR. MAHENDRA GUNAPOOTI (MD) – Interventional Pain Medicine Physician, NPI 1114034931

DR. MAHENDRA GUNAPOOTI (MD) is a healthcare provider. based in Granite city, Illinois. specializing in PHYSICAL MEDICINE AND REHABILITATION, PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. 2004022990 (MO). The NPI Number for DR. MAHENDRA GUNAPOOTI (MD) is 1114034931

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAHENDRA GUNAPOOTI (MD)
NPI
1114034931
Phone
(314) 830-2600
Address
2421 Corporate Ctr Ste 105
Enumeration Date
25 August 2006
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148302600
Graduation Year
1994 (32 years ago)
PAC ID
3476501123
Group Practice PAC ID
3779532858
Professional Enrollment ID
I20050110000298
Address ID
MO630317928FL261XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

596 PHYSICAL MEDICINE AND REHABILITATION in IL

Provider Addresses for DR. MAHENDRA GUNAPOOTI (MD)

  • 2421 Corporate Ctr Ste 105

    Granite City, IL 620404195

    Phone: (314) 830-2600

    Fax: (314) 830-2648

    Type: Location

  • PO BOX 650

    EDWARDSVILLE, IL 620250650

    Phone: (314) 830-2600

    Fax: (314) 830-2648

    Type: Mailing

  • 261, Dunn Road, Florissant, Saint Louis County, Missouri, 63031, United States

    FLORISSANT, MO 630317928

    Phone: (314) 830-2600

    Fax: (314) 830-2648

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $384.

Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PROTEGA PHARMACEUTIALS INC ($141).

Total Amount

$384

General + Research + Ownership

Payments

17

Total payment records

General Amount

$384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-01-10

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
I20050110000298IPhysical Medicine And RehabilitationMOTBD

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
80307Testing for presence of drug, by chemistry analyzers817194$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg808104$0
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms807190$0
99214Established patient office or other outpatient visit, 30-39 minutes437160$0
99213Established patient office or other outpatient visit, 20-29 minutes289145$0
View full utilization report →

Insurance plans in this area (ZIP 62040)

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Provider's Procedures

DR. MAHENDRA GUNAPOOTI (MD) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOMO62311Injections of substances into lower or sacral spine2111

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: 3779532858View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL

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Frequently asked questions

What identifier follows DR. MAHENDRA GUNAPOOTI (MD) across health systems?
The NPI 1114034931 uniquely identifies DR. MAHENDRA GUNAPOOTI (MD) in U.S. healthcare data.
Is DR. MAHENDRA GUNAPOOTI (MD)'s NPI status active today?
Active status means DR. MAHENDRA GUNAPOOTI (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. MAHENDRA GUNAPOOTI (MD) provide?
DR. MAHENDRA GUNAPOOTI (MD)'s profile centers on Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MAHENDRA GUNAPOOTI (MD) in Granite City, Illinois?
For routing, start with Granite City, Illinois for DR. MAHENDRA GUNAPOOTI (MD), then verify phone and hours locally.
Can I export DR. MAHENDRA GUNAPOOTI (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.