VAMSHIDHAR GUDUGUNTLA (MD) – Cardiovascular Disease Physician, NPI 1174525729

VAMSHIDHAR GUDUGUNTLA (MD) is a healthcare provider. based in Roseville, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. 4301063528 (MI). The NPI Number for VAMSHIDHAR GUDUGUNTLA (MD) is 1174525729

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
VAMSHIDHAR GUDUGUNTLA (MD)
NPI
1174525729
Phone
(586) 775-4594
Address
25195 KELLY RD
Enumeration Date
12 August 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489677000
Graduation Year
1987 (39 years ago)
PAC ID
2567549660
Group Practice PAC ID
7315859725
Professional Enrollment ID
I20080414000078
Address ID
MI480713487MA27351RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,222 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI

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Provider Addresses for VAMSHIDHAR GUDUGUNTLA (MD)

  • 25195, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States

    SUITE A

    ROSEVILLE, MI 480664909

    Phone: (586) 775-4594

    Fax: (586) 775-4506

    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)

CMS reports 23 Open Payments records for all available years, with a total value of $856.

Total Amount is formed as General ($856) + Research ($0) + Ownership ($0) = $856.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($260).

Total Amount

$856

General + Research + Ownership

Payments

23

Total payment records

General Amount

$856

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

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: 2008-04-14

PECOS data refreshed: 2026-06-15

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
I20080414000078IInterventional CardiologyMITBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,085783$0
99214Established patient office or other outpatient visit, 30-39 minutes585327$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes273146$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function146146$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6966$0
View full utilization report →

Insurance plans in this area (ZIP 48066)

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Provider's Procedures

VAMSHIDHAR GUDUGUNTLA (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYMI85610Blood test, clotting time14633

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: 7315859725View full group profile
NameSpecialtyState
Family PracticeMI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
-MI
Cardiovascular Disease (Cardiology)NC
Cardiovascular Disease (Cardiology), Internal MedicineIN
N E U R O L O G YMI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What NPI should I save for VAMSHIDHAR GUDUGUNTLA (MD)?
Save NPI 1174525729 if you need a stable reference for VAMSHIDHAR GUDUGUNTLA (MD).
Does this profile mean VAMSHIDHAR GUDUGUNTLA (MD) is currently active?
Yes — VAMSHIDHAR GUDUGUNTLA (MD) appears active in the national provider directory.
Does VAMSHIDHAR GUDUGUNTLA (MD) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for VAMSHIDHAR GUDUGUNTLA (MD). Clinical services aligned with this taxonomy classification.
Where is VAMSHIDHAR GUDUGUNTLA (MD)'s primary listing?
We display Roseville, Michigan because that is what the record indicates for VAMSHIDHAR GUDUGUNTLA (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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