Doctor profile · Federal record
Dr. Prathima Guruguri, MBBS
Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Albuquerque, NM
- NPI 1073850251
- Accepts Medicare
- MIPS 83.0 / 100 · 2023
- 18 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1100 Central Ave Se, 4Th Floor B
Albuquerque, NM 871064930
(505) 724-6124
fax (505) 724-6125 - Mailing address
-
Po Box 26666, Phs Provider Enrollment
Albuquerque, NM 871256666
Credentials & registration
- NPI registered
- January 2013 — 13 yrs on file
- Profile last updated
- March 4, 2016
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- New Mexico #MD2014-0802
- Medicaid
- NM #69277851
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073850251. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
506
Distinct HCPCS
5
Medicare allowed
$49,043
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 277 | 125 | $78 | |
99239 |
Hospital discharge day management, more than 30 minutes | 111 | 109 | $111 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 79 | 42 | $117 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 21 | 21 | $171 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 18 | $129 |
In context: peer comparison
Among 97 peers in Albuquerque Internal Medicine Physician, average services per provider: 383. This provider delivers 1.3× the peer median.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AngioDynamics, INC. | 1 | $24.86 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
415
Patients
213
Total drug cost
$41,403
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Metoprolol Succinate | Generic | 55 | 36 | $1,237 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 49 | 19 | $1,199 |
| Furosemide | Generic | 39 | 27 | $250 |
| Pantoprazole Sodium | Generic | 38 | 27 | $557 |
| Atorvastatin Calcium | Generic | 36 | 27 | $872 |
| Eliquis (Apixaban) | Brand | 29 | 13 | $16,536 |
| Xarelto (Rivaroxaban) | Brand | 28 | 0 | $17,743 |
| Metoprolol Tartrate | Generic | 27 | 20 | $350 |
| Lisinopril | Generic | 21 | 15 | $266 |
| Prednisone | Generic | 20 | 18 | $80 |
Frequently asked questions
What is Dr. Prathima Guruguri's medical specialty?
Dr. Prathima Guruguri practices Internal Medicine Physician in Albuquerque, NM.
Where does Dr. Prathima Guruguri practice?
Dr. Prathima Guruguri practices at 1100 Central Ave Se, Albuquerque, NM 871064930. Office phone: 5057246124.
What is Dr. Prathima Guruguri's NPI?
Dr. Prathima Guruguri's National Provider Identifier (NPI) is 1073850251, issued by NPPES.
Does Dr. Prathima Guruguri accept Medicare assignment?
Yes. Dr. Prathima Guruguri accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Prathima Guruguri commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Hospital discharge day management (HCPCS 99239); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.