VIJAYA N. GOTTUMUKKALA (M.D.) – Anesthesiology Physician, NPI 1063518199
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
285 ANESTHESIOLOGY in ME
Provider Addresses for VIJAYA N. GOTTUMUKKALA (M.D.)
22 Bramhall St
Portland, ME 041023134
Phone: (207) 662-0111
Type: Location
Houston Post Office, 123, South Main Street, Houston, Washington County, Pennsylvania, 15342, United States
HOUSTON, TX 772104439
Phone: (713) 792-2991
Type: Mailing
University of Texas MD Anderson Cancer Center, 1515, Holcombe Boulevard, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 770304009
Phone: (713) 792-6161
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $3,445.
Total Amount is formed as General ($3,445) + Research ($0) + Ownership ($0) = $3,445.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Medtronic, Inc. ($3,325).
Total Amount
$3,445
General + Research + Ownership
Payments
6
Total payment records
General Amount
$3,445
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $3,325 |
| EAGLE PHARMACEUTICALS, INC. | $92 |
| Heron Therapeutics, Inc. | $28 |
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: 2025-09-23
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 |
|---|---|---|---|---|
| I20250923004024 | I | Anesthesiology | ME | 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 |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 19 | 19 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 16 | 16 | $0 |
Insurance plans in this area (ZIP 04102)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| N E U R O L O G Y | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Nephrology, Internal Medicine | TX | |
| Anesthesiology, Emergency Medicine | TX |
Reviews
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