Prathima Guruguri, MBBS
- Medicare services, 2024
- 507
- Medicare patients, 2024
- 176
- Part D claims, 2024
- 791
- Publications
- 1
- MIPS score, 2024
- 89
- Practice address
- 1100 Central Avenue SE, Albuquerque, NM 87106
- Practice phone
- Call (505) 724-8386
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
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Prathima Guruguri is an internist in Albuquerque, New Mexico
Prathima Guruguri practices at Presbyterian Hospital in Albuquerque, New Mexico, part of Presbyterian Healthcare Services.
Prathima Guruguri's NPI, 1073850251, was assigned on January 9, 2013. Prathima Guruguri holds New Mexico license MD2014-0802.
- NPI
- 1073850251NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6406076157
- NPI enumeration date
- January 9, 2013
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (505) 724-8386
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 44
- Medical school graduation
- 2008
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Prathima Guruguri practices at Presbyterian Hospital in Albuquerque, New Mexico
Prathima Guruguri's primary practice is Presbyterian Hospital, at 1100 Central Avenue SE, Albuquerque, NM 87106 in Bernalillo County. The practice phone is (505) 724-8386.
- Presbyterian Hospital1100 Central Avenue SE, Albuquerque, NM 87106 · Bernalillo CountyPhone(505) 724-8386
Source: Dmand AI Affiliation Data
Prathima Guruguri is affiliated with 1 site of care and 1 medical group
Prathima Guruguri's primary practice is Presbyterian Hospital in Albuquerque, New Mexico, part of Presbyterian Healthcare Services. The medical group on file is Presbyterian Medical Group.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Prathima Guruguri's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Prathima Guruguri practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Presbyterian Hospital | Available with a free account |
Source: Dmand AI Technology Install Data
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Prathima Guruguri is one of 734 internists in New Mexico
Internal medicine is Prathima Guruguri's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Prathima Guruguri is board certified in internal medicine by the American Board of Internal Medicine. Prathima Guruguri is licensed in New Mexico.
Specialties and state licenses
- Internal medicine, New MexicoPrimary
Internists near Prathima Guruguri
Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Prathima Guruguri billed Medicare for 507 services in 2024
CMS data shows 507 Medicare services from Prathima Guruguri across 5 procedure codes in 2024, for 176 Medicare patients. Medicare paid $36,442 for them. Every service was in a facility, such as a hospital, rather than an office.
Prathima Guruguri's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 5062024: 507No change
Prathima Guruguri compared with the New Mexico median for internists, 2024
- Prathima Guruguri
- New Mexico median
- Medicare services
- 507vs 28180% above
- Medicare patients
- 176vs 14422% above
- Part D claims
- 577vs 1623.6 times
Medians across 716 internists in New Mexico with Dmand AI profiles that report each measure.
Prathima Guruguri's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Prathima Guruguri treated 176 Medicare patients in 2024, average age 76
CMS counts 176 Medicare patients who saw Prathima Guruguri in 2024. The largest group is 65 to 74, with 58 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 34% are also on Medicaid. Their average risk score is 2.43, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Prathima Guruguri's median patient age at 65, with 48% women.
Prathima Guruguri's Medicare patients by age, 2024
Prathima Guruguri's Medicare patients by sex, 2024
- Women9051%
- Men8649%
Chronic conditions among Prathima Guruguri's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Heart failure59%
- Ischemic heart disease55%
- Chronic kidney disease50%
- Diabetes49%
- Arthritis47%
- Atrial fibrillation44%
Share of Medicare patients with each condition. A patient can have several.
Prathima Guruguri's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 65
Patient panel by sex, all payers
- Women48%
- Men51%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Prathima Guruguri wrote 791 Medicare Part D claims in 2024
In 2024, Prathima Guruguri wrote 791 Medicare Part D claims for 219 patients. 82% of them were for generic drugs. CMS names the drug for 577 of them, across 22 drugs with 11 or more claims each, at $48,806 in total drug cost. In 2023, CMS named 483 claims across 21 drugs.
Prathima Guruguri's Part D claims by kind of drug, 2024
- Generic648 claims82%
- Brand-name and other143 claims18%
Prathima Guruguri's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Prathima Guruguri's Part D claims, 2024
- Opioids3%25 of 791 claims
- Antibiotics4%34 of 791 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 4832024: 57719%
Drugs named by CMS: 22 in 2024, 21 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Prathima Guruguri scored 89 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 89 out of 100 for Prathima Guruguri for performance year 2024, reported as part of a group. Prathima Guruguri accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Prathima Guruguri's MIPS scores, performance year 2024
- 89of 100Final score
- 82.3of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 77of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Prathima Guruguri has 1 publication on record
Dmand AI links 1 paper to Prathima Guruguri in 2013. Prathima Guruguri's most frequent co-author is Amol Madhusudan Patwardhan, MD, PhD.
Prathima Guruguri's most frequent co-authors
Recent publications by Prathima Guruguri
See who Prathima Guruguri researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Prathima Guruguri works with, so you can find a warm path to the right internists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Prathima Guruguri received $124 in industry payments from 2018 to 2024
CMS Open Payments shows 3 general payments to Prathima Guruguri from 3 drug and device companies from 2018 to 2024. Food and beverage make up the largest share, 100% of the total. ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) paid the most, $84.
General payments to Prathima Guruguri by program year, 2018 to 2024
Companies that paid Prathima Guruguri the most, 2018 to 2024
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Prathima Guruguri is board certified in internal medicine
- Board certified in internal medicine
Source: Dmand AI Professional Profile Data
Sources for Prathima Guruguri's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Prathima Guruguri
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Prathima Guruguri's NPI number?
Prathima Guruguri's NPI number is 1073850251. It was assigned on January 9, 2013, and it is active in the NPI Registry.
What does Prathima Guruguri specialize in?
Prathima Guruguri is an internist in Albuquerque, New Mexico. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Prathima Guruguri practice?
Prathima Guruguri practices at 1100 Central Avenue SE, Albuquerque, NM 87106. Prathima Guruguri's primary practice is Presbyterian Hospital in Albuquerque, New Mexico, part of Presbyterian Healthcare Services.
What is Prathima Guruguri's office phone number?
The practice phone on file for Prathima Guruguri is (505) 724-8386.
What is Prathima Guruguri's medical license number?
Prathima Guruguri holds New Mexico license MD2014-0802.
Which hospitals is Prathima Guruguri affiliated with?
Prathima Guruguri practices at Presbyterian Hospital in Albuquerque, New Mexico.
What medical group is Prathima Guruguri part of?
Prathima Guruguri is linked to Presbyterian Medical Group.
Does Prathima Guruguri accept Medicare?
Yes. CMS data shows Prathima Guruguri billed Medicare for 507 services in 2024, and Prathima Guruguri accepts Medicare assignment.
What is Prathima Guruguri's MIPS score?
Prathima Guruguri's MIPS final score for performance year 2024 is 89 out of 100, reported as part of a group.
How many Medicare patients does Prathima Guruguri see?
CMS counts 176 Medicare patients who saw Prathima Guruguri in 2024, with an average age of 76.
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Is Prathima Guruguri board certified?
Yes. Prathima Guruguri is board certified in internal medicine by the American Board of Internal Medicine.
What services does Prathima Guruguri bill to Medicare?
In 2024, Prathima Guruguri's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99239) and hospital inpatient care (99233).
What drugs does Prathima Guruguri prescribe most?
In 2024 Medicare Part D data, Prathima Guruguri's most prescribed drugs by claims were Clopidogrel, Metoprolol Succinate and Furosemide.
Has Prathima Guruguri received payments from drug or device companies?
CMS Open Payments shows $124 in general payments to Prathima Guruguri from 3 companies from 2018 to 2024. The largest total came from ZOLL Services LLC (A/K/A ZOLL LifeCor Corp).
How long has Prathima Guruguri been practicing?
Prathima Guruguri graduated from medical school in 2008, 18 years ago.
Does Prathima Guruguri do research?
Dmand AI links 1 publication to Prathima Guruguri.
Who does Prathima Guruguri publish with?
Prathima Guruguri's most frequent co-authors are Amol Madhusudan Patwardhan, MD, PhD (1 shared paper).
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