Individual ProviderAnupama GotimukulaAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294(972) 715-5000(972) 233-1999PECOS EnrollmentBased on the most recent information from CMS, provider Anupama Gotimukula is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1003937756Provider TypeIndividualFull NameGotimukula, AnupamaTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/2/2007Last Updated8/31/2023Contact InformationPractice LocationPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-2303Phone(972) 233-1999FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseM7224TexasCode207LP3000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseM7224TexasProvider IdentifiersIDDescriptionIssuerID190047406DescriptionOtherIssuerCSHCNTexasID8BX289DescriptionOtherIssuerBCBSTexasID190047405DescriptionMedicaidIssuerUnlistedTexas