SRI PREETHI GUNNALA (MD) – Diagnostic Neuroimaging (Radiology) Physician, NPI 1366608341
Diagnostic Neuroimaging (Radiology) Physician
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NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
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Provider Addresses for SRI PREETHI GUNNALA (MD)
Advocate Illinois Masonic Hospital, 836, West Wellington Avenue, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States
ILLINOIS MASONIC MEDICAL CENTER- DEPT OF RADIOLOGY
CHICAGO, IL 606575147
Phone: (772) 296-7820
Mailing address matches the actual address.
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.
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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: 2016-08-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160817003126 | I | Diagnostic Radiology | AZ | TBD |
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.
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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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 2,177 | 35 | $0 |
| 77067 | Screening mammography | 1,572 | 1,572 | $0 |
| 77063 | Screening 3d breast mammography | 1,569 | 1,569 | $0 |
| 76641 | Complete ultrasound scan of 1 breast | 315 | 314 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 264 | 262 | $0 |
Insurance plans in this area (ZIP 60657)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 71010 | X-ray of chest, 1 view, front | 301 | 250 |
| DIAGNOSTIC RADIOLOGY | IL | 71250 | CT scan chest | 25 | 25 |
| DIAGNOSTIC RADIOLOGY | IL | 73562 | X-ray of knee, 3 views | 33 | 25 |
| DIAGNOSTIC RADIOLOGY | IL | 73630 | X-ray of foot, minimum of 3 views | 26 | 24 |
| DIAGNOSTIC RADIOLOGY | IL | 74177 | CT scan of abdomen and pelvis with contrast | 48 | 48 |
| DIAGNOSTIC RADIOLOGY | IL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 26 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | TX | |
| Interventional Radiology | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | WV | |
| - | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | VA |
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