YOGANAND GUNDAMRAJ (MD) – Internal Medicine Physician, NPI 1104859370

YOGANAND GUNDAMRAJ (MD) is a healthcare provider. based in Brookfield, Wisconsin. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 43848 (WI). The NPI Number for YOGANAND GUNDAMRAJ (MD) is 1104859370

Main info

Male
28 Years Of Experience
Name
YOGANAND GUNDAMRAJ (MD)
NPI
1104859370
Phone
(262) 646-0021
Address
12630 W North Ave
Enumeration Date
9 July 2006
Last Update Date
14 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2629487000
Graduation Year
1998 (28 years ago)
PAC ID
5890716096
Group Practice PAC ID
5597133264
Professional Enrollment ID
I20051215000617
Address ID
WI531427884KE10400STXX300

Contacts

Secure Messaging
ygundamraj806@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,939 INTERNAL MEDICINE in WI

Provider Addresses for YOGANAND GUNDAMRAJ (MD)

  • 12630 W North Ave

    Brookfield, WI 530054626

    Phone: (262) 646-0021

    Type: Location

  • PO BOX 735044

    CHICAGO, IL 606735044

    Phone: (800) 326-2250

    Type: Mailing

  • 1220 DEWEY AVE

    WAUWATOSA, WI 532132504

    Phone: (414) 454-6600

    Type: Location

  • Aurora Health Center, 3003, West Good Hope Road, Town & Country Manor, Glendale, Milwaukee County, Wisconsin, 53209, United States

    MILWAUKEE, WI 532092042

    Phone: (414) 352-3100

    Fax: (414) 247-4597

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-12-15

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
I20051215000617IInternal MedicineWITBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3231$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 53005)

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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: 5597133264View full group profile
NameSpecialtyState
Internal MedicineWI
Internal MedicineWI
Internal MedicineIL
Internal MedicineWI
Internal MedicineIL
Family PracticeWI
Internal MedicineKY
Internal MedicineWI
Family PracticeWI
Family PracticeIL

Reviews

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Frequently asked questions

Where can patients find YOGANAND GUNDAMRAJ (MD)'s NPI?
You can confirm YOGANAND GUNDAMRAJ (MD) with NPI 1104859370; it appears in the national provider directory.
Is YOGANAND GUNDAMRAJ (MD) currently active in the NPI registry?
CMS-published data lists YOGANAND GUNDAMRAJ (MD) as an active registrant.
What field does YOGANAND GUNDAMRAJ (MD) work in?
You can think of YOGANAND GUNDAMRAJ (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is YOGANAND GUNDAMRAJ (MD)'s primary listing?
We display Brookfield, Wisconsin because that is what the record indicates for YOGANAND GUNDAMRAJ (MD).
What if Brookfield, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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