Prathima Guruguri, MBBS
Internal Medicine Physician · Albuquerque, NM
Prathima Guruguri, MBBS is an internal medicine physician with a practice address in Albuquerque, New Mexico, and NPI 1073850251, issued on Jan 9, 2013. Check the license (New Mexico MD2014-0802, as entered in NPPES) on the New Mexico Medical Board; the Medicare figures below come from public CMS files.
- Name
- Prathima Guruguri
- Credential
- MBBS
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- MD2014-0802 NM
Self-reported in NPPES; status is on the state search - Practice location
- 1100 Central Ave SE, Albuquerque, NM 87106
- Phone
- (505) 724-6124
- Enumerated
- Jan 9, 2013
- Record last updated
- Mar 4, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (505) 724-6125
- Medicaid ID
- 69277851 NM
- Medicare enrollment
- Enrolled (PECOS I20150730010817); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 770 in New Mexico → Look up another NPI →
Also registered at 1100 Central Ave SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Genine Abeyta, BSN, IBCLCLactation Consultant (Registered Nurse)1992693592
- Jeannine Acantilado, CNPPediatric Nurse Practitioner1477504959
- Chidozie Agu, M.D.Internal Medicine Physician1982952156
- Angela Aldrich, PHARM.D.Pharmacist1093789927
Verify Prathima Guruguri in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Mexico Medical Board
Search for license MD2014-0802Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
75% fewer Medicare Part D claims than the average internal medicine physician in 2024
791 Medicare Part D claims for 219 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. 25 claims were for opioids.
Most prescribed
- Clopidogrel62 claims
- Metoprolol Succinate60 claims
- Furosemide58 claims
- Atorvastatin Calcium46 claims
- Brilinta30 claims
- Bumetanide30 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 83.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $24.86
1 payment: food and beverage; the largest payer was AngioDynamics, Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Presbyterian Healthcare ServicesAlbuquerque, NM
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Prathima Guruguri among 770 internal medicine physician records in New Mexico
Prathima Guruguri, MBBS is one of 770 internal medicine physician records with a practice address in New Mexico. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 67% of them.
- NPI issued2013 · 67% of these records are older, 31% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 58% of these records are
- Graduated2008 · median 2009 among the 447 with a school on file
- Record last updated2016 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
431 internal medicine physician records list a practice address in Albuquerque
They are 431 of the 24,162 NPPES records with a practice address in Albuquerque, and 770 internal medicine physician records in New Mexico.
All 770 in New Mexico → Every provider in Albuquerque → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Kenneth Bell, DOAlbuquerque, NM 871061003898842
- Thomas Downs, MDAlbuquerque, NM 871061174558381
- Thomas Faber, MDAlbuquerque, NM 871061235120908
- Shawn Fultz, M.D., J.D., M.P.H.Albuquerque, NM 871061184728867
- Jamie Jackson, MDAlbuquerque, NM 871061609960087
- Sepehr Khashaei, MDAlbuquerque, NM 871061508845751
- Edward Lewiecki, M.D.Albuquerque, NM 871061861441735
- Brian Palen, M.D.Albuquerque, NM 871061710977905
Common questions
What is Prathima Guruguri, MBBS's NPI number?
Prathima Guruguri, MBBS's National Provider Identifier (NPI) is 1073850251, issued on Jan 9, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Prathima Guruguri, MBBS located?
The NPPES record lists a practice address at 1100 Central Ave SE, Albuquerque, NM, 87106. Phone: (505) 724-6124. Providers update this record themselves, so call before visiting.
How can I verify Prathima Guruguri, MBBS's license?
NPPES lists New Mexico license number MD2014-0802, as entered by the provider. Search the New Mexico Medical Board at https://www.nmmb.state.nm.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Prathima Guruguri, MBBS prescribe under Medicare Part D?
In 2024, Prathima Guruguri, MBBS had 791 Medicare Part D claims for 219 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Prathima Guruguri, MBBS's MIPS final score?
The 2023 MIPS final score is 83.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.