VIJAYA N. GOTTUMUKKALA (M.D.) – Anesthesiology Physician, NPI 1063518199

VIJAYA N. GOTTUMUKKALA (M.D.) is a healthcare provider. based in Portland, Maine. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD28797 (ME). The NPI Number for VIJAYA N. GOTTUMUKKALA (M.D.) is 1063518199

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
VIJAYA N. GOTTUMUKKALA (M.D.)
NPI
1063518199
Phone
(207) 662-0111
Address
22 Bramhall St
Enumeration Date
16 September 2006
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7137926127
Graduation Year
1984 (42 years ago)
PAC ID
2567415003
Group Practice PAC ID
7911801410
Professional Enrollment ID
I20050224000828
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

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250923004024IAnesthesiologyMETBD

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
36620Insertion of artery tube for blood sampling or infusion through skin1919$0
00790Anesthesia for other procedure on upper abdomen1616$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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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: 7911801410View full group profile
NameSpecialtyState
-TX
N E U R O L O G YTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
-TX
-TX
Nephrology, Internal MedicineTX
Anesthesiology, Emergency MedicineTX

Reviews

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Frequently asked questions

Can I cross-check VIJAYA N. GOTTUMUKKALA (M.D.) using NPI 1063518199?
NPI 1063518199 belongs to VIJAYA N. GOTTUMUKKALA (M.D.); compare other details if you need extra assurance.
Is VIJAYA N. GOTTUMUKKALA (M.D.) shown as active in public data?
Registry records indicate VIJAYA N. GOTTUMUKKALA (M.D.) maintains an active NPI.
What area of care is associated with VIJAYA N. GOTTUMUKKALA (M.D.)?
VIJAYA N. GOTTUMUKKALA (M.D.)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is VIJAYA N. GOTTUMUKKALA (M.D.) associated with Portland?
Public fields place VIJAYA N. GOTTUMUKKALA (M.D.) around Portland, Maine. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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