GOWRI GOUDA – Psychiatry Physician, NPI 1174146674

GOWRI GOUDA is a healthcare provider. based in Perrysburg, Ohio. specializing in PSYCHIATRY. They hold a License No. 5101029031 (MI). The NPI Number for GOWRI GOUDA is 1174146674

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
GOWRI GOUDA
NPI
1174146674
Phone
Not provided
Address
102 KINLOCH DR
Enumeration Date
19 May 2020
Last Update Date
30 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709316026
Graduation Year
2020 (6 years ago)
PAC ID
1951833326
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20241010002603
Address ID
GA300964506DU3650XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

1,216 PSYCHIATRY in MI

Provider Addresses for GOWRI GOUDA

  • 102 KINLOCH DR

    PERRYSBURG, OH 435511339

    Phone:

    Type: Mailing

  • 502 E CUMMINS ST

    TECUMSEH, MI 492862074

    Phone: (517) 423-3887

    Type: Location

  • 4801 ALBERTA AVE

    EL PASO, TX 799052707

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $658.

Total Amount is formed as General ($658) + Research ($0) + Ownership ($0) = $658.

Last reported payment date: 2024-06-14 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($510).

Total Amount

$658

General + Research + Ownership

Payments

7

Total payment records

General Amount

$658

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-14

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: 2026-01-20

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
I20241010002603IPsychiatryGATBD
I20260120001031IPsychiatryMITBD

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 43551)

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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: 6204829013View full group profile

Reviews

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Frequently asked questions

Can I verify GOWRI GOUDA with an NPI only?
You can start verification with NPI 1174146674 for GOWRI GOUDA, then check state licensing separately.
Is GOWRI GOUDA listed as active for patients and plans?
The listing shows GOWRI GOUDA as active in the NPI system.
What is GOWRI GOUDA best known for clinically?
Directory data describes GOWRI GOUDA with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is GOWRI GOUDA based?
GOWRI GOUDA is tied to Perrysburg, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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