Prathima Guruguri, MBBS
NPI 1073850251 · Internal Medicine Physician · Albuquerque, NM
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prathima Guruguri, MBBS is a Internal Medicine Physician provider in Albuquerque, NM (NPI 1073850251).
Provider details
- NPI number
- 1073850251
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBBS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
507 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 294 | $76 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 109 | $107 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 66 | $113 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 20 | $166 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 18 | $126 |
Typical Medicare-allowed amounts for these services range $76–$166 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clopidogrel Bisulfatebrand: Clopidogrel | 62 | 30 |
| Metoprolol Succinate | 60 | 34 |
| Furosemide | 58 | 41 |
| Atorvastatin Calcium | 46 | 29 |
| Bumetanide | 30 | 14 |
| Ticagrelorbrand: Brilinta | 30 | — |
| Metoprolol Tartrate | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$25 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-01-09
- Last updated
- 2016-03-04
Frequently asked questions
- What is Prathima Guruguri's NPI number?
- Prathima Guruguri's National Provider Identifier (NPI) is 1073850251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prathima Guruguri's specialty?
- Prathima Guruguri is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prathima Guruguri located?
- Prathima Guruguri's practice location on file with NPPES is 1100 Central Ave Se, Albuquerque, NM 87106-4930.
- What is Prathima Guruguri's phone number?
- The practice phone number listed in the NPPES registry for Prathima Guruguri is (505) 724-6124.
- Does Prathima Guruguri accept Medicare?
- Prathima Guruguri is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prathima Guruguri's NPI active?
- Yes — Prathima Guruguri's NPI (1073850251) is active in the NPPES registry as of the last update on 2016-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.