Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gautham Reddy Kandukuri, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1174979462

Mr. Gautham Reddy Kandukuri, MD is a Diagnostic Radiology in Reedsport, Oregon. Qualified in 2016, 10 years ago. Practices with Inspire Radiology Group 2 LLC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Utah.

Years since qualifying
10
Licensed in
OR, UT
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 343
Reedsport, OR 97467-0343
Phone: (816) 800-9020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1775 Thompson Rd, Coos Bay, OR 97420-2198 — (541) 269-8111

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD211277 (OR)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 14217294-1205 (UT)

Record details

NPI number1174979462
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Inspire Radiology Group 2 Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations21 on file with Medicare