JYOTHI D GUDLA M.D – NPI #1194872713
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

JYOTHI GUDLA is a physician located in CANTON, OH. NPPES has assigned the NPI number 1194872713 to JYOTHI GUDLA on January 04, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was last updated on Nov 19, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JYOTHI GUDLA below.

NPI Profile for
JYOTHI D. GUDLA

NPI Number
1194872713
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JYOTHI D. GUDLA
Professional Name: JYOTHI D GUDLA
Credentials
M.D
Primary location
4808 MUNSON ST NW
CANTON, OH 44718-3613
Phone: (330) 622-0207 Fax: (330) 832-3499
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Nov 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)		 OH 35.083145
208M00000X
- Hospitalist		 OH 35-083145
207R00000X
- Internal Medicine		 OH 35.083145

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
4808 MUNSON ST NW,
CANTON, OH 77025-1669

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JYOTHI GUDLA is affiliated with the following medical group(s):
  • HOSPITAL
    • MERCY MEDICAL CENTER
      1320 MERCY DRIVE NW
      CANTON, OH 44708
    • WOOSTER COMMUNITY HOSPITAL
      1761 BEALL AVENUE
      WOOSTER, OH 44691
  • NURSING HOME
    • GLENWOOD CARE AND REHABILITATION
      836 WEST 34TH STREET NW
      CANTON, OH 44709
    • HANOVER HOUSE
      435 AVIS AVENUE NW
      MASSILLON, OH 44646
    • SAINT LUKE LUTHERAN HOME
      220 APPLEGROVE STREET NE
      NORTH CANTON, OH 44720
    • SHADY LAWN NURSING HOME
      15028 OLD LINCOLNWAY EAST
      DALTON, OH 44618
    • SMITHVILLE WESTERN CARE CENTER
      4110 EAST SMITHVILLE WESTERN ROAD
      WOOSTER, OH 44691
  • HOSPICE
    • AULTMAN HOSPICE
      2821 WOODLAWN AVENUE NW
      CANTON, OH 44708
    • CROSSROADS HOSPICE OF NORTHEAST OHIO, LLC
      3743 BOETTLER OAKS DRIVE, SUITE E
      UNIONTOWN, OH 44685
    • LIFECARE HOSPICE
      1900 AKRON ROAD
      WOOSTER, OH 44691
    • MERCY MEDICAL CENTER HOME HEALTH & HOSPICE LLC
      4369 WHIPPLE AVENUE NW
      CANTON, OH 44718
    • SPRENGER HOSPICE INC
      3905 OBERLIN AVENUE
      LORAIN, OH 44053

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