DR. GANAPATHI GOTTUMUKKALA (M.D.) – Family Medicine Physician, NPI 1780683953
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for DR. GANAPATHI GOTTUMUKKALA (M.D.)
PO BOX 849
MATTESON, IL 604430849
Phone: (708) 747-5850
Fax: (708) 747-9991
Type: Mailing
6701 159TH ST
SUITE B
TINLEY PARK, IL 604771758
Phone: (708) 614-0893
Fax: (708) 342-1481
Type: Location
15300 West Ave Ste 20
Orland Park, IL 604624504
Phone: (708) 460-5550
Fax: (708) 226-2595
Type: Location
6701 159th St
Suite B
Tinley Park, IL 604771758
Phone: (708) 614-0893
Fax: (708) 342-1481
Type: Location
8558 BROADWAY
MERRILLVILLE, IN 464107032
Phone: (219) 392-7084
Fax: (219) 703-6854
Type: Mailing
9660 WICKER AVE
SAINT JOHN, IN 463739487
Phone: (193) 651-1772
Fax: (219) 703-6662
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: 2021-12-22
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100331000079 | I | Family Practice | IL | TBD |
| I20211222001149 | I | Family Practice | IN | 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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 299 | 282 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 75 | 75 | $0 |
| 81003 | Automated urinalysis test | 30 | 30 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 28 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 60443)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 37 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| P A T H O L O G Y | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL |
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