GOUTHAMI RATNA CHENNU
NPI 1265936827
Student in an Organized Health Care Education/Training Program in Newark, NJ

NPI Status: Active since March 20, 2018

Contact Information

201 LYONS AVENUE
NEWARK, NJ
ZIP 07112
Phone: (973) 926-7425
Fax: (973) 926-6130

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  • Individual
  • Female
  • Years of Experience 14
  • Student in an Organized Health Care Educ...
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About GOUTHAMI CHENNU

This page provides the complete NPI Profile along with additional information for Gouthami Chennu, a primary care provider established in Newark, New Jersey with a medical specialization in Student In An Organized Health Care Education/training Program and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1265936827 assigned on March 2018. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1265936827
Provider Name
GOUTHAMI RATNA CHENNU
Gender
Female
Entity Type
Individual
Location Address
201 LYONS AVENUE NEWARK, NJ 07112
Location Phone
(973) 926-7425
Location Fax
(973) 926-6130
Mailing Address
201 LYONS AVENUE NEWARK, NJ 07112
Mailing Phone
(973) 926-7425
Mailing Fax
(973) 926-6130
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
03-20-2018
Last Update Date
03-28-2018
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A primary care provider (PCP) like Gouthami Chennu sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 445 Charles H Dimmock Pkwy Ste 100
    Colonial Heights, VA 23834
    (804) 520-1764
  • 445 Charles H Dimmock Pkwy Ste 100
    Colonial Heights, VA 23834
    (804) 520-1764
  • 445 Charles H Dimmock Pkwy Ste 100
    Colonial Heights, VA 23834
    (804) 520-1764
  • 8006 Discovery Dr Ste 303
    Henrico, VA 23229
    (804) 554-0102
  • 201 Lyons Avenue
    Newark, NJ 07112
    (973) 926-7425
  • 8006 Discovery Dr Ste 303
    Henrico, VA 23229
    (804) 554-0102

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Gouthami Chennu is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Gouthami Chennu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2365954286

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250625002281

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for GOUTHAMI RATNA CHENNU

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265936827
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251831284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 8 + 3 + 1 + 2 + 8 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1265936827 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437101391DR. STACEY O MURRAY-TAYLOR MD
Individual
Emergency Medicine201 LYONS AVENUE NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112
(973) 926-7000
1174576870DR. SHELLEY AM JONES-DILLON MD
Individual
Emergency Medicine201 LYONS AVENUE NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112
(973) 926-7000
1144273335DR. NEIL ERIC SCHAMBAN MD
Individual
Emergency Medicine201 LYONS AVENUE NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112
(973) 926-7000
1245326131 JOHN RICHARD MATJUCHA MD
Individual
Emergency Medicine201 LYONS AVENUE NEWARD BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112
(973) 926-7000
1639216260MRS. MARILYN MOORE DRISCOLL RD
Individual
Dietitian, Registered201 LYONS AVENUE
NEWARK, NJ 07112
(973) 926-4607
1275586422DR. HOWARD MICHAEL FRIEDLAND DO
Individual
Emergency Medicine201 LYONS AVENUE NEWARK BETH ISRAEL MEDICAL CENTER
NEWARD, NJ 07112
(973) 926-7000
1629025028NEWARK BETH ISRAEL EMERGENCY ROOM DEPARTMENT
Organization
Emergency Medicine201 LYONS AVENUE NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112
(973) 926-7000
1588616460DR. PATRICK BLAINE HINFEY MD
Individual
Emergency Medicine201 LYONS AVENUE NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112
(973) 926-7000
1134658933 BRIAN FAN LIN MD
Individual
Emergency Medicine201 LYONS AVENUE
NEWARK, NJ 07112
(973) 926-6671
1669425369DR. MIRIAM JOHN MD
Individual
Emergency Medicine201 LYONS AVENUE NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112
(973) 926-7000
1649972878DR. SYED AQEEL HAIDER MD, MBBS
Individual
Student in an Organized Health Care Education/Training Program201 LYONS AVENUE
NEWARK, NJ 07112
(973) 926-7425
1114282654 FOLASHADE FARRI M.D., MPH
Individual
Pediatrics (Pediatric Pulmonology)201 LYONS AVENUE SUITE L5
NEWARK, NJ 07112
(973) 926-7280
1679466569 AISHWARYA GILKES
Individual
Student in an Organized Health Care Education/Training Program201 LYONS AVENUE
NEWARK, NJ 07112
(973) 926-2676
1932093598 SALONI BAKKANNAVAR
Individual
Student in an Organized Health Care Education/Training Program201 LYONS AVENUE
NEWARK, NJ 07112
(973) 926-7471

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265936827, enumerated in the NPI registry as an "individual" on March 20, 2018

The provider is located at 201 Lyons Avenue Newark, Nj 07112 and the phone number is (973) 926-7425

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 14 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on March 20, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.