Provider profile

Praveena GandikotaMD

Internal Medicine, Endocrinology, Diabetes & Metabolism

NPI 1285849513
One Medical Center Blvd, Suite 424, Upland, PA 19013610-338-1820

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Medicare Advantage plans for Delaware County, PA.

Checked Oct 25, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 87 Medicare Advantage plans we show for Delaware County, PA in 2027

  • 73 list Praveena
  • 14 not listed

Humana

14 plans list Praveena.

14plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 196 W Sproul Rd, Ste 205, Springfield, PA, 19064
    • 300 Evergreen Dr, Ste 330, Glen Mills, PA, 19342

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5525-085-002Medicare.gov
    $0a month
  • Humana Total Complete (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 210 Mall Blvd, King Of Prussia, PA, 19406
    • 559 W Germantown Pike, Norristown, PA, 19403
    • 196 W Sproul Rd, Ste 205, Springfield, PA, 19064
    • 300 Evergreen Dr, Ste 330, Glen Mills, PA, 19342

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH6622-037-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 196 W Sproul Rd, Ste 205, Springfield, PA, 19064
    • 300 Evergreen Dr, Ste 330, Glen Mills, PA, 19342

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-221-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback with Rx (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 196 W Sproul Rd, Ste 205, Springfield, PA, 19064
    • 300 Evergreen Dr, Ste 330, Glen Mills, PA, 19342

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5525-059-000Medicare.gov
    $0a month

UnitedHealthcare

13 plans list Praveena.

13plans
  • AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-154-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-203-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC PA-0010 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-071-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Giveback from UHC PA-12 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-101-000Medicare.gov
    $0a month

Aetna Medicare

10 plans list Praveena.

10plans
  • Aetna Medicare Advantra Eagle (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406
    • 559 W Germantown Pike, Norristown, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH3959-094-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406
    • 559 W Germantown Pike, Norristown, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3959-052-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406
    • 559 W Germantown Pike, Norristown, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-017-000Medicare.gov
    $0a month
  • Aetna Medicare Elite (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406
    • 559 W Germantown Pike, Norristown, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-028-000Medicare.gov
    $0a month

Devoted

9 plans list Praveena.

9plans
  • DEVOTED CHOICE 007 PA (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste G03, King of Prussia, PA, 19406
    • 559 W Germantown Pike, East Norriton, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH6018-007-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK 003 PA (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste G03, King of Prussia, PA, 19406
    • 559 W Germantown Pike, East Norriton, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH6018-003-000Medicare.gov
    $0a month
  • DEVOTED CORE 023 PA (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste G03, King of Prussia, PA, 19406
    • 559 W Germantown Pike, East Norriton, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH6852-023-000Medicare.gov
    $0a month
  • DEVOTED GIVEBACK EXTRAS 036 PA (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste G03, King of Prussia, PA, 19406
    • 559 W Germantown Pike, East Norriton, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH6852-036-000Medicare.gov
    $0a month

Jefferson Health Plans

8 plans list Praveena.

8plans
  • Jefferson Health Plans Complete (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste G03, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-012-000Medicare.gov
    $0a month
  • Jefferson Health Plans Flex (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste G03, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH1619-001-000Medicare.gov
    $0a month
  • Jefferson Health Plans Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste G03, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-015-000Medicare.gov
    $0a month
  • Jefferson Health Plans Prime (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste G03, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-002-000Medicare.gov
    $12.80a month

HealthSpring

7 plans list Praveena.

7plans
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 196 W Sproul Rd, Ste 205, Springfield, PA, 19064
    • 300 Evergreen Dr, Ste 330, Glen Mills, PA, 19342
    • 500 Evergreen Dr, Ste 23, Glen Mills, PA, 19342

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH3949-052-000Medicare.gov
    $0a month
  • HealthSpring Preferred PA (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 196 W Sproul Rd, Ste 205, Springfield, PA, 19064
    • 300 Evergreen Dr, Ste 330, Glen Mills, PA, 19342
    • 500 Evergreen Dr, Ste 23, Glen Mills, PA, 19342

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH3949-031-000Medicare.gov
    $0a month
  • HealthSpring Preferred Savings (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 196 W Sproul Rd, Ste 205, Springfield, PA, 19064
    • 300 Evergreen Dr, Ste 330, Glen Mills, PA, 19342
    • 500 Evergreen Dr, Ste 23, Glen Mills, PA, 19342

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH3949-053-000Medicare.gov
    $0a month
  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 196 W Sproul Rd, Ste 205, Springfield, PA, 19064
    • 300 Evergreen Dr, Ste 330, Glen Mills, PA, 19342
    • 500 Evergreen Dr, Ste 23, Glen Mills, PA, 19342
    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406
    • 559 W Germantown Pike, Norristown, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH7849-151-000Medicare.gov
    $9a month

Geisinger Gold

3 plans list Praveena.

3plans
  • Geisinger Gold Heritage (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406
    • 559 W Germantown Pike, Norristown, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3954-162-000Medicare.gov
    $0a month
  • Geisinger Gold Value Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406
    • 559 W Germantown Pike, Norristown, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3954-163-000Medicare.gov
    $29a month
  • Geisinger Gold Secure Rx (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406
    • 559 W Germantown Pike, Norristown, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH3954-097-000Medicare.gov
    $1a month

Wellcare

3 plans list Praveena.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste G03, King of Prussia, PA, 19406
    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH2915-003-000Medicare.gov
    $0a month
  • Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 559 W Germantown Pike, Norristown, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH2915-002-000Medicare.gov
    $0a month
  • Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 559 W Germantown Pike, Norristown, PA, 19403

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH2915-018-000Medicare.gov
    $0a month

Highmark Wholecare Medicare Assured

2 plans list Praveena.

2plans
  • Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Medical Center Blvd, Ste 101, Chester, PA, 19013
    • 8 Morton Ave, Ste 103, Ridley Park, PA, 19078
    • 190 W Sproul Rd, Ste 102, Springfield, PA, 19064
    • 300 Evergreen Dr, Ste 330, Glen Mills, PA, 19342
    • 500 Evergreen Dr, Ste 23, Glen Mills, PA, 19342

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5932-012-000Medicare.gov
    $0a month
  • Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Medical Center Blvd, Ste 101, Chester, PA, 19013
    • 8 Morton Ave, Ste 103, Ridley Park, PA, 19078
    • 190 W Sproul Rd, Ste 102, Springfield, PA, 19064
    • 300 Evergreen Dr, Ste 330, Glen Mills, PA, 19342
    • 500 Evergreen Dr, Ste 23, Glen Mills, PA, 19342

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5932-013-000Medicare.gov
    $12.80a month

UPMC for Life

2 plans list Praveena.

2plans
  • UPMC for Life HMO No Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4.5 starsH3907-002-000Medicare.gov
    $0a month
  • UPMC for Life PPO Salute (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH5533-016-002Medicare.gov
    $0a month

UPMC for Life Complete Care

1 plan lists Praveena.

1plan
  • UPMC for Life Complete Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH7123-001-000Medicare.gov
    $0a month

VISTA Health Plan Inc.

1 plan lists Praveena.

1plan
  • Keystone First VIP Choice (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 210 Mall Blvd, Ste 101, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH4227-001-000Medicare.gov
    $12.80a month

Clover Health

Not listed on its 2 plans here. That isn't proof they're out of network.

Independence Blue Cross

Not listed on its 11 plans here. That isn't proof they're out of network.

Perennial Advantage

Not listed on its 1 plan here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Praveena takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

One Medical Center Blvd, Suite 424
Upland, PA 19013

NPI Registry
NPI issued
2007
Registry record updated
Oct 29, 2012

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Praveena Gandikota?

In Delaware County, PA, 73 Medicare Advantage plans for 2027 list Praveena in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO), Humana Total Complete (HMO) and Humana USAA Honor Giveback (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Praveena Gandikota take Humana Medicare Advantage plans?

Humana's own provider directory lists Praveena on 14 Medicare Advantage plans for 2027 in Delaware County, PA, including Humana Essentials Plus Giveback (PPO) and Humana Total Complete (HMO). Confirm with the office or Humana before you enroll.

Does Praveena Gandikota take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Praveena on 13 Medicare Advantage plans for 2027 in Delaware County, PA, including AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS) and AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does Praveena Gandikota take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Praveena on 10 Medicare Advantage plans for 2027 in Delaware County, PA, including Aetna Medicare Advantra Eagle (HMO-POS) and Aetna Medicare Advantra Signature (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Where does Praveena Gandikota practice?

One Medical Center Blvd, Suite 424, Upland, PA 19013.

How do I confirm Praveena is in my plan's network?

Call the member services number on your plan card and give them the NPI 1285849513, or ask a Silverpath advisor to check for you. It's free.

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Talk to a licensed advisor

A Silverpath advisor can confirm Praveena's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Praveena Gandikota on 14 plans from Clover Health, Independence Blue Cross and Perennial Advantage in Delaware County, PA. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2012-10-29). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 25, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Praveena Gandikota or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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