Doctor profile · Federal record
Dr. Raja Ramesh Gummalla, M.D.
Internal Medicine Physician (CMS: Hospitalist) · Internal Medicine Physician · Miami, FL
- NPI 1952618951
- Accepts Medicare
- MIPS 88.5 / 100 · 2023
- 19 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1400 Nw 12Th Ave
Miami, FL 331361003
(305) 243-1959
Credentials & registration
- NPI registered
- September 2010 — 16 yrs on file
- Profile last updated
- August 1, 2016
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State licenses (2)
- Florida #ME116336 · Illinois #125057359
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1952618951. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
663
Distinct HCPCS
5
Medicare allowed
$75,816
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 427 | 146 | $118 | |
99239 |
Hospital discharge day management, more than 30 minutes | 100 | 97 | $113 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 89 | 44 | $78 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 36 | 36 | $170 | |
99238 |
Hospital discharge day management, 30 minutes or less | 11 | 11 | $80 |
In context: peer comparison
Among 174 peers in Miami Internal Medicine Physician, average services per provider: 184. This provider delivers 3.6× the peer median.Open Payments
Industry payments received
All-time total
$75
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, INC | 1 | $28.29 | |
| Abbott Laboratories | 1 | $24.25 | |
| Gilead Sciences, INC. | 1 | $21.98 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
103
Patients
92
Total drug cost
$7,817
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Furosemide | Generic | 18 | 14 | $87 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 18 | 18 | $105 |
| Atorvastatin Calcium | Generic | 17 | 14 | $122 |
| Eliquis (Apixaban) | Brand | 14 | 11 | $7,219 |
| Prednisone | Generic | 13 | 13 | $42 |
| Metoprolol Succinate | Generic | 12 | 11 | $100 |
| Doxycycline Hyclate | Generic | 11 | 11 | $141 |
Hospital affiliations
Frequently asked questions
What is Dr. Raja Ramesh Gummalla's medical specialty?
Dr. Raja Ramesh Gummalla practices Internal Medicine Physician in Miami, FL.
Where does Dr. Raja Ramesh Gummalla practice?
Dr. Raja Ramesh Gummalla practices at 1400 Nw 12Th Ave, Miami, FL 331361003. Office phone: 3052431959.
What is Dr. Raja Ramesh Gummalla's NPI?
Dr. Raja Ramesh Gummalla's National Provider Identifier (NPI) is 1952618951, issued by NPPES.
Does Dr. Raja Ramesh Gummalla accept Medicare assignment?
Yes. Dr. Raja Ramesh Gummalla accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Raja Ramesh Gummalla commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Hospital discharge day management (HCPCS 99239); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.