NPI registry status
Active
2026 NPPES data Nephrology Physician NPI 1205044963 MD
Verify on CMS → Sirisha Guthikonda, MD
Nephrology Physician in Canton, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,569 in Nephrology 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
329
Medicare Part D claims · 55 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sirisha Guthikonda, MD filed 329 Medicare Part D claims in 2023 as a Nephrology Physician in Canton, Georgia, prescribing 81% generic.
- 329
- Part D claims, 2023
- 81%
- generic prescribing
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.
Sirisha Guthikonda, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
329 Top 43% higher than 57% of 1,370,886 prescribers
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-eligible specialty (heuristic, not verified)
Sirisha Guthikonda, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Sirisha Guthikonda, MD?
Quality data not reportedPrimary specialty
Nephrology Physician
Medicare Part D claims
329 77% vs specialty avg
Specialty distribution in Georgia
How Nephrology Physician compares to other specialties among Georgia 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 Nephrology Physician. Verify directly:
How MIPS and board certification work
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).
Sirisha Guthikonda, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 460 NORTHSIDE CHEROKEE BLVD STE 430, Canton, GA, 30115, with a listed phone of (770) 765-3766. NPI 1205044963 was issued on 05/18/2007.
Medicare Part D records for calendar year 2023 show 329 prescription claims written by this provider, covering 55 Medicare beneficiaries and totaling roughly $32K in drug spend, split 19% brand-name and 81% generic by claim count.
Nephrology Physician is a mid-sized specialty nationwide, with 10,569 enrolled providers across 55 states and an average of 1,454 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
Provider Details
| NPI | 1205044963 |
|---|---|
| Specialty | Nephrology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 05/18/2007 |
Brand vs generic prescribing mix · Typical
Sirisha Guthikonda, MD - brand share 19.0%
Nephrology Physician average
19% brand-name claims vs 81% generic, on 329 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.
329
Total Claims
$32K
Total Drug Cost
55
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 756
- Total Day Supply
- 21,378
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $25K
- Generic Drug Cost
- $6K
Patient Demographics
- Average Patient Age
- 75.5 years
- Avg HCC Risk Score
- 2.30
- Gender Split
- 55% female / 45% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sirisha Guthikonda, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prosol
Prosol
45 claims
- Calcitriol
Calcitriol
38 claims
- Furosemide
Furosemide
38 claims
- Hydralazine Hcl
Hydralazine Hcl
28 claims
- Tamsulosin Hcl
Tamsulosin Hcl
21 claims
- Amlodipine Besylate 14
Amlodipine Besylate
14 claims
- Losartan Potassium 13
Losartan Potassium
13 claims
- Lisinopril 11
Lisinopril
11 claims
| Drug | Claims |
|---|---|
| Prosol Parenteral Amino Acid 20% No.1 | 45 |
| Calcitriol | 38 |
| Furosemide | 38 |
| Hydralazine Hcl | 28 |
| Tamsulosin Hcl | 21 |
| Amlodipine Besylate | 14 |
| Losartan Potassium | 13 |
| Lisinopril | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nephrology Physician Overview
How Sirisha Guthikonda, MD fits within the Nephrology Physician landscape nationally.
10,569
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider
Sirisha Guthikonda, MD's 329 claims are below the specialty average of 1,454.
Nearby Nephrology Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Guthikonda.
Dr. Mahboob Aamer
M D
Alpharetta, GA
Dr. Mazen Abdalla
M.D.
Snellville, GA
Dr. Afu Abdul
MD
Cartersville, GA
Dr. Mohamed Abidian
MD
Gainesville, GA
Dr. Ismail Abubakar Ibrahim
MBBS
Albany, GA
Compare Nephrology 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 Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Nephrology 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.
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Frequently Asked Questions
What is Sirisha Guthikonda, MD's specialty? ▼
Sirisha Guthikonda, MD specializes in Nephrology Physician and practices in Canton, Georgia. Credentials: MD.
How much does Sirisha Guthikonda, MD prescribe under Medicare Part D? ▼
In 2023, Sirisha Guthikonda, MD wrote 329 Medicare Part D claims totaling $32K in drug costs for 55 beneficiaries.
Where is Sirisha Guthikonda, MD located? ▼
Sirisha Guthikonda, MD is located at 460 NORTHSIDE CHEROKEE BLVD STE 430, Canton, GA, 30115. Phone: (770) 765-3766.
What is Sirisha Guthikonda, MD's NPI number? ▼
Sirisha Guthikonda, MD's National Provider Identifier (NPI) is 1205044963, issued on 05/18/2007.
Does Sirisha Guthikonda, MD prescribe more brand-name or generic drugs? ▼
Sirisha Guthikonda, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $25K in brand drug costs.
How many Nephrology Physician providers are there in the US? ▼
There are 10,569 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does Sirisha Guthikonda, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sirisha Guthikonda, MD's most frequently prescribed drugs include Prosol, Calcitriol, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sirisha Guthikonda, MD accept Medicare? ▼
Sirisha Guthikonda, MD appears in CMS Medicare data with 329 Part D claims and 55 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sirisha Guthikonda, MD's credentials? ▼
Sirisha Guthikonda, MD's NPI is 1205044963 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
View source datasets and methodology notes
- 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.