DR. SUJANA GOTTUMUKKALA (MD) – Internal Medicine Physician, NPI 1134613730

DR. SUJANA GOTTUMUKKALA (MD) is a healthcare provider. based in Westbrook, Maine. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD26872 (ME). The NPI Number for DR. SUJANA GOTTUMUKKALA (MD) is 1134613730

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUJANA GOTTUMUKKALA (MD)
NPI
1134613730
Phone
(207) 303-3300
Address
11 Rock Row Ste 120
Enumeration Date
18 June 2018
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
6035594188
Graduation Year
2018 (8 years ago)
PAC ID
5496002875
Group Practice PAC ID
7618871245
Professional Enrollment ID
I20240415001612
Address ID
NH038017128PO333XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

22 RADIATION ONCOLOGY in ME

Provider Addresses for DR. SUJANA GOTTUMUKKALA (MD)

  • 11 Rock Row Ste 120

    Westbrook, ME 040924877

    Phone: (207) 303-3300

    Type: Location

  • 11 Rock Row Ste 320

    Westbrook, ME 040924877

    Phone: (207) 303-3300

    Type: Location

  • 333 Borthwick Ave

    Portsmouth, NH 038017128

    Phone: (603) 559-4188

    Fax: (603) 443-4906

    Type: Location

  • 15 Rock Row Ste 110

    Westbrook, ME 040924877

    Phone: (207) 303-3300

    Fax: (207) 241-4439

    Type: Location

  • Woodland Avenue, Western Gateway, Des Moines, Polk County, Iowa, 50312, United States

    DES MOINES, IA 503093203

    Phone: (515) 241-5995

    Type: Mailing

  • 324 GANNETT DR STE 200

    SOUTH PORTLAND, ME 041063266

    Phone: (207) 482-7800

    Fax: (207) 482-7898

    Type: Mailing

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 482-7800

    Fax: (207) 482-7898

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2023-06-12 • Largest payer in this snapshot: Novocure Inc. ($284).

Total Amount

$284

General + Research + Ownership

Payments

2

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novocure Inc.$284
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: 2024-04-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230801003926IRadiation OncologyMETBD
I20240415001612IRadiation OncologyNHTBD

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
77014Ct guidance for insertion of radiation therapy fields20531$0
77427Radiation treatment management, 5 treatment sessions8659$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy5212$0
77334Design and construction of complex radiation treatment device4014$0
99205New patient office or other outpatient visit, 60-74 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 04092)

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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: 7618871245View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SUJANA GOTTUMUKKALA (MD)?
DR. SUJANA GOTTUMUKKALA (MD) — NPI 1134613730 — is the standard way to identify this listing.
Does the file indicate DR. SUJANA GOTTUMUKKALA (MD) is practicing under active NPI?
Directory data currently reports DR. SUJANA GOTTUMUKKALA (MD) as active.
What taxonomy line describes DR. SUJANA GOTTUMUKKALA (MD)?
For research purposes, treat DR. SUJANA GOTTUMUKKALA (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. SUJANA GOTTUMUKKALA (MD) based?
DR. SUJANA GOTTUMUKKALA (MD) is tied to Westbrook, Maine in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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