DR. SIVAJI GUNDLAPALLI (MD) – Cardiovascular Disease Physician, NPI 1669433868

DR. SIVAJI GUNDLAPALLI (MD) is a healthcare provider. based in Port huron, Michigan. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 4301052256 (MI). The NPI Number for DR. SIVAJI GUNDLAPALLI (MD) is 1669433868

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. SIVAJI GUNDLAPALLI (MD)
NPI
1669433868
Phone
(810) 985-9681
Address
1222 10TH AVE
Enumeration Date
29 March 2006
Last Update Date
30 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8109859681
Graduation Year
1974 (52 years ago)
PAC ID
1658330881
Group Practice PAC ID
1658348776
Professional Enrollment ID
I20100709000839
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for DR. SIVAJI GUNDLAPALLI (MD)

  • 1222, 10th Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States

    PORT HURON, MI 480603406

    Phone: (810) 985-9681

    Fax: (810) 985-3590

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $193.

Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($175).

Total Amount

$193

General + Research + Ownership

Payments

12

Total payment records

General Amount

$193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2010-07-09

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
I20100709000839ICardiovascular Disease (Cardiology)MITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48060)

Loading plans...

Provider's Procedures

DR. SIVAJI GUNDLAPALLI (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MI78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies179179
CARDIOVASCULAR DISEASE (CARDIOLOGY)MI93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report11964

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: 1658348776View full group profile
NameSpecialtyState
Nurse PractitionerMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
-MI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. SIVAJI GUNDLAPALLI (MD) by NPI?
Use NPI 1669433868 when you need to reference DR. SIVAJI GUNDLAPALLI (MD) in forms, claims, or directories.
Is DR. SIVAJI GUNDLAPALLI (MD)'s NPI currently valid?
The extract we use shows DR. SIVAJI GUNDLAPALLI (MD) as active.
What kind of provider is DR. SIVAJI GUNDLAPALLI (MD)?
The page reflects Cardiovascular Disease Physician for DR. SIVAJI GUNDLAPALLI (MD). Clinical services aligned with this taxonomy classification.
Where is DR. SIVAJI GUNDLAPALLI (MD)'s primary listing?
We display Port Huron, Michigan because that is what the record indicates for DR. SIVAJI GUNDLAPALLI (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

port huron heart center

Cardiovascular Disease Physician
1222, 10th Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States
NPI: 1033198593

DR. NISHIT ARVIND CHOKSI (M.D.)

Cardiovascular Disease Physician
5250 Auto Club Dr Ste 300
NPI: 1992764641

DR. SURESH REDDY TUMMA (MD)

Cardiovascular Disease Physician
1222, 10th Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States
NPI: 1588625743

DR. VRAJMOHAN C PARIKH (MD)

Cardiovascular Disease Physician
1222, 10th Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States
NPI: 1760443238

DR. VIRENDER D PAREKH (MD)

Cardiovascular Disease Physician
1222, 10th Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States
NPI: 1104887926

DR. JOHNSON K ZACHARIAS (MD)

Cardiovascular Disease Physician
1222, 10th Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States
NPI: 1548221385

DR. ASHOK KUMAR KONDUR (M.D.)

Interventional Cardiology Physician
5250 Auto Club Dr Ste 300
NPI: 1508819434

DR. GABRIEL CRAWFORD (D.O.)

Interventional Cardiology Physician
1222 10TH AVE
NPI: 1447696737