CHAMPA GOWDA (MD) – Internal Medicine Physician, NPI 1295749885

CHAMPA GOWDA (MD) is a healthcare provider. based in Chicago, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. The NPI Number for CHAMPA GOWDA (MD) is 1295749885

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
CHAMPA GOWDA (MD)
NPI
1295749885
Phone
(309) 672-4809
Address
5100 RELIABLE PKWY
Enumeration Date
28 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4698281903
Graduation Year
1997 (29 years ago)
PAC ID
5991780975
Group Practice PAC ID
7113817404
Professional Enrollment ID
I20100628000592
Address ID
TX750804773RI331XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for CHAMPA GOWDA (MD)

  • A-Reliable Glass & Door Corp., 4128, West Belmont Avenue, Hermosa, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States

    CHICAGO, IL 606860001

    Phone: (309) 672-4809

    Type: Mailing

  • Planned Parenthood Peoria Health Center, 2709, North Knoxville Avenue, Roanoke-Randolph Street Historic District, Peoria, Peoria County, Illinois, 61604, United States

    PEORIA, IL 616042867

    Phone: (309) 688-2117

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-06-28

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
I20100628000592IInternal MedicineTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes253132$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes19178$0
99239Hospital discharge day management, more than 30 minutes103100$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6765$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 60686)

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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: 7113817404View full group profile
NameSpecialtyState
Internal MedicineTX
Internal MedicineOH
Internal MedicineTX
Internal MedicineTX
Internal MedicineNH
Internal MedicineTX
Hospitalist, Internal MedicineTX
-TX
Internal Medicine, HospitalistOH
-TX

Reviews

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Frequently asked questions

What federal number belongs to CHAMPA GOWDA (MD)?
The federal identifier for CHAMPA GOWDA (MD) is NPI 1295749885.
Is CHAMPA GOWDA (MD) currently active in the NPI registry?
CMS-published data lists CHAMPA GOWDA (MD) as an active registrant.
Does CHAMPA GOWDA (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for CHAMPA GOWDA (MD). Clinical services aligned with this taxonomy classification.
Where is CHAMPA GOWDA (MD)'s primary listing?
We display Chicago, Illinois because that is what the record indicates for CHAMPA GOWDA (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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