Prabhavathi Gummalla, M.D
NPI 1750700852 · Pediatric Pulmonology Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prabhavathi Gummalla, M.D is a Pediatric Pulmonology Physician provider in Philadelphia, PA (NPI 1750700852).
Provider details
- NPI number
- 1750700852
- Entity type
- Individual
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MA10793600 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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 methodology.
Practice location
Mailing address
Additional practice locations (1)
- 200 Bowman DrVoorhees, NJ 08043-9623Phone: (215) 590-7490
Registry dates
- Enumerated
- 2014-04-16
- Last updated
- 2023-02-09
- Certified
- 2023-02-09
Frequently asked questions
- What is Prabhavathi Gummalla's NPI number?
- Prabhavathi Gummalla's National Provider Identifier (NPI) is 1750700852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prabhavathi Gummalla's specialty?
- Prabhavathi Gummalla is listed in the NPPES registry with a primary specialty of Pediatric Pulmonology Physician (Allopathic & Osteopathic Physicians).
- Where is Prabhavathi Gummalla located?
- Prabhavathi Gummalla's practice location on file with NPPES is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319.
- What is Prabhavathi Gummalla's phone number?
- The practice phone number listed in the NPPES registry for Prabhavathi Gummalla is (917) 715-5360.
- Does Prabhavathi Gummalla accept Medicare?
- Prabhavathi Gummalla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prabhavathi Gummalla's NPI active?
- Yes — Prabhavathi Gummalla's NPI (1750700852) is active in the NPPES registry as of the last update on 2023-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.