Doctor profile · Federal record
Dr. Gouthami Boddu, MD
Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Fayetteville, NC
- NPI 1972173011
- Accepts Medicare
- 12 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1638 Owen Dr
Fayetteville, NC 283043424
(910) 615-4000 - Additional location
-
210 Medical Pavilion Dr
Raeford, NC 283769111
(910) 904-8000 - Additional location
-
501 S Poplar St
Elizabethtown, NC 283379375
(910) 862-5100
Credentials & registration
- NPI registered
- June 2021 — 5 yrs on file
- Profile last updated
- June 18, 2025
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- North Carolina #2024-01318
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972173011. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$92
Transactions
5
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zoll Services LLC (A/K/A Zoll LifeCor Corp) | 2 | $36.09 | |
| Abbvie INC. | 2 | $34.67 | |
| Janssen Pharmaceuticals, INC | 1 | $21.36 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
15
Patients
0
Total drug cost
$166
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 15 | 0 | $166 |
Hospital affiliations
Frequently asked questions
What is Dr. Gouthami Boddu's medical specialty?
Dr. Gouthami Boddu practices Internal Medicine Physician in Fayetteville, NC.
Where does Dr. Gouthami Boddu practice?
Dr. Gouthami Boddu practices at 1638 Owen Dr, Fayetteville, NC 283043424. Office phone: 9106154000.
What is Dr. Gouthami Boddu's NPI?
Dr. Gouthami Boddu's National Provider Identifier (NPI) is 1972173011, issued by NPPES.
Does Dr. Gouthami Boddu accept Medicare assignment?
Yes. Dr. Gouthami Boddu accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.