Doctor profile · Federal record
Dr. Supraja Gulla, MD
Internal Medicine Physician · Internal Medicine Physician · Internal Medicine Physician · Hospitalist Physician · Georgetown, TX
- NPI 1104076389
- 18 yrs on file
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4945 Williams Dr
Georgetown, TX 786332008
(317) 962-2894 - Mailing address
-
Po Box 844658
Dallas, TX 752844658
Credentials & registration
- NPI registered
- September 2008 — 18 yrs on file
- Profile last updated
- July 27, 2023
- Specialty taxonomy
- 207R00000X — NUCC code
- State licenses (3)
- Texas #T4929 · Illinois #125.054210 · Indiana #01069786A
- Medicaid
- IN #201037090
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104076389. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
289
Distinct HCPCS
4
Medicare allowed
$26,843
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 163 | 119 | $94 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 69 | 62 | $63 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $128 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $124 |
In context: peer comparison
Among 8 peers in this city , average services per provider: 143. This provider delivers 2.0× the peer median.Open Payments
Industry payments received
All-time total
$40
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 1 | $21.23 | |
| Lilly USA, LLC | 1 | $18.45 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
39
Patients
29
Total drug cost
$300
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 25 | 16 | $191 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 14 | 13 | $109 |
Frequently asked questions
What is Dr. Supraja Gulla's medical specialty?
Dr. Supraja Gulla practices Internal Medicine Physician in Georgetown, TX.
Where does Dr. Supraja Gulla practice?
Dr. Supraja Gulla practices at 4945 Williams Dr, Georgetown, TX 786332008. Office phone: 3179622894.
What is Dr. Supraja Gulla's NPI?
Dr. Supraja Gulla's National Provider Identifier (NPI) is 1104076389, issued by NPPES.
What procedures does Dr. Supraja Gulla commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.