MR. GAUTHAM REDDY KANDUKURI (M.D.) – Internal Medicine Physician, NPI 1174979462
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DIAGNOSTIC RADIOLOGY in OR
Provider Addresses for MR. GAUTHAM REDDY KANDUKURI (M.D.)
1775 Thompson Rd
Coos Bay, OR 974202198
Phone: (541) 269-8111
Fax: (541) 269-8517
Type: Location
Truman Medical Center, Hospital Hill, 2301, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States
KANSAS CITY, MO 64108
Phone: (816) 404-4175
Type: Mailing
PO BOX 343
REEDSPORT, OR 974670343
Phone: (816) 800-9020
Type: Location
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 $2,361.
Total Amount is formed as General ($2,361) + Research ($0) + Ownership ($0) = $2,361.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Penumbra, Inc. ($2,090).
Total Amount
$2,361
General + Research + Ownership
Payments
12
Total payment records
General Amount
$2,361
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $2,090 |
| Abbott Laboratories | $182 |
| Inari Medical, Inc. | $49 |
| W. L. Gore & Associates, Inc. | $24 |
| ShockWave Medical, Inc | $16 |
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: 2025-08-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230104001879 | I | Diagnostic Radiology | OR | TBD |
| I20240914000669 | I | Diagnostic Radiology | KS | TBD |
| I20241015002202 | I | Diagnostic Radiology | NJ | TBD |
| I20241020000002 | I | Diagnostic Radiology | TX | TBD |
| I20241024004497 | I | Diagnostic Radiology | FL | TBD |
| I20241114004417 | I | Diagnostic Radiology | MI | TBD |
| I20250305004316 | I | Diagnostic Radiology | MT | TBD |
| I20250804002883 | I | Diagnostic Radiology | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 629 | 629 | $0 |
| 77063 | Screening 3d breast mammography | 629 | 629 | $0 |
| 71045 | X-ray of chest, 1 view | 276 | 230 | $0 |
| 70450 | Ct scan head or brain without contrast | 106 | 97 | $0 |
| 71271 | Low dose ct scan of chest for lung cancer screening | 89 | 89 | $0 |
Insurance plans in this area (ZIP 97420)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NV | |
| Orthopedic Surgery | CO | |
| P O D I A T R Y | UT | |
| Diagnostic Radiology | OR | |
| P O D I A T R Y | WA | |
| Physician Assistant | UT | |
| Emergency Medicine | NV | |
| Family Practice | PA | |
| Diagnostic Radiology | OR | |
| Mental Health Counselor | UT |
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.