Prathima Guruguri, MBBS

  • Albuquerque, NM
  • Internist
NPI1073850251PAC ID6406076157
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
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Personal email
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Mobile number
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Social profiles

Primary practice

Presbyterian Hospital

Hospital · Albuquerque, New Mexico

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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 and contact details
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
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Mobile number
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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 Hospital
    1100 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.

EHR by site
SiteEHR vendor and product
Presbyterian HospitalAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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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 MexicoPrimaryLicense MD2014-0802 · taxonomy 207R00000X

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.

Medicare services, 2024507
Medicare patients176
Paid by Medicare$36,442
Procedure codes5

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.

See all procedures by Prathima Guruguri

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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.

Medicare patients, 2024176
Average age76
Average risk score2.43
Also on Medicaid34%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Heart failure59%
  4. Ischemic heart disease55%
  5. Chronic kidney disease50%
  6. Diabetes49%
  7. Arthritis47%
  8. 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.

Part D claims, 2024791
Drugs named by CMS22
Total drug cost$48,806
Part D patients219

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.

See all prescribing by Prathima Guruguri

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.

Papers1

Prathima Guruguri's most frequent co-authors

Recent publications by Prathima Guruguri

See all 1 publications and co-authors

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.

How network discovery works

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.

See all payments to Prathima Guruguri

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Prathima Guruguri is board certified in internal medicine

  1. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Sources for Prathima Guruguri's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare 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 percentilesDoctors 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-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand 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.

Show 7 more questionsShow fewer questions

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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