2026 NPPES data Gastroenterology Physician NPI 1750358420 MD
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Nalini Guda, MD

Gastroenterology Physician in Milwaukee, Wisconsin. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 482 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$11.5K
13 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Nalini Guda, MD filed 1,181 Medicare Part D claims in 2023 as a Gastroenterology Physician in Milwaukee, Wisconsin, prescribing 75% generic.

1K
Part D claims, 2023
75%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Nalini Guda, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

1,181 Top 23% higher than 77% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Nalini Guda, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Nalini Guda, MD?

Quality data not reported

NPI registry status

Active

Issued 03/02/2006

NPI 1750358420

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,181 42% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in Wisconsin

How Gastroenterology Physician compares to other specialties among Wisconsin providers

Wisconsin providers
Physical Therapist - 5.6%Physical Therapist5.6%Pharmacist - 4.8%Pharmacist4.8%Registered Nurse - 4.5%Registered Nurse4.5%Professional Counselor - 3.3%Professional Counselor3.3%Student in an Organized Health Care Education/Training Program - 3.3%Student in an Organized Health Care Education/Training Program3.3%Family Medicine Physician - 3.2%Family Medicine Physician3.2%Gastroenterology Physician - 0.2%Gastroenterology Physician0.2%
Largest specialties in Wisconsin (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gastroenterology Physician. Verify directly:

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Nalini Guda, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 2801 W KINNICKINNIC RIVER PKWY STE 1080, Milwaukee, WI, 53215, with a listed phone of (414) 908-6500. NPI 1750358420 was issued on 03/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Guda most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,181 prescription claims written by this provider, covering 482 Medicare beneficiaries and totaling roughly $550K in drug spend, split 25% brand-name and 75% generic by claim count. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2801 W KINNICKINNIC RIVER PKWY STE 1080
Milwaukee, WI 53215

Provider Details

NPI 1750358420
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 03/02/2006

Hospital and facility affiliations

Facilities where Nalini Guda, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Gastroenterology Consultants Ltd
Milwaukee, WI
GI Associates LLC
Milwaukee, WI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Nalini Guda, MD. Source: openpaymentsdata.cms.gov.

Total received

$11.5K

Largest payer

PENTAX of America, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

Nalini Guda, MD - brand share 25.0%
Gastroenterology Physician average

25% brand-name claims vs 75% generic, on 1,181 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,181
Total Claims
$550K
Total Drug Cost
482
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,030
Total Day Supply
53,049
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$489K
Generic Drug Cost
$61K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.53
Gender Split
56% female / 44% male
Age Distribution
<65: 70, 65-74: 265, 75-84: 129, 85+: 18

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Nalini Guda, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Omeprazole
190
Pantoprazole Sodium
184
Linzess
Linaclotide
72
Dicyclomine Hcl
55
Esomeprazole Magnesium
34
Pyridostigmine Bromide
34
Azathioprine
33
Creon
Lipase/Protease/Amylase
30
Amitriptyline Hcl
28
Ursodiol
22

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gastroenterology Physician Overview

How Nalini Guda, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

Nalini Guda, MD's 1,181 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Guda.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Wisconsin medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Nalini Guda, MD's specialty?
Nalini Guda, MD specializes in Gastroenterology Physician and practices in Milwaukee, Wisconsin. Credentials: MD.
How much does Nalini Guda, MD prescribe under Medicare Part D?
In 2023, Nalini Guda, MD wrote 1,181 Medicare Part D claims totaling $550K in drug costs for 482 beneficiaries.
Where is Nalini Guda, MD located?
Nalini Guda, MD is located at 2801 W KINNICKINNIC RIVER PKWY STE 1080, Milwaukee, WI, 53215. Phone: (414) 908-6500.
What is Nalini Guda, MD's NPI number?
Nalini Guda, MD's National Provider Identifier (NPI) is 1750358420, issued on 03/02/2006.
Does Nalini Guda, MD prescribe more brand-name or generic drugs?
Nalini Guda, MD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $489K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Nalini Guda, MD prescribe most often?
Based on 2023 Medicare Part D data, Nalini Guda, MD's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Linzess. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nalini Guda, MD accept Medicare?
Nalini Guda, MD appears in CMS Medicare data with 1,181 Part D claims and 482 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nalini Guda, MD's credentials?
Nalini Guda, MD's NPI is 1750358420 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.