DR. PRAVEENA GORANTLA M.D
NPI 1114107182
Internal Medicine - Rheumatology in Wichita, KS
About Dr. Praveena Gorantla M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRAVEENA GORANTLA M.D (NPI 1114107182) is an individual rheumatology provider in Wichita, Kansas, licensed in Kansas (04-33130) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Nmc Health, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Praveena Gorantla M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Praveena Gorantla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wichita, KS 67206
- Reassigned Medicare billing, Kansas enrollment
- 8 clinicians in this Medicare group
Udall, KS 67146
- Reassigned Medicare billing, Kansas enrollment
- 156 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 32
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nmc Health
Acute Care Hospitals · Newton, KSWilliam Newton Hospital
Critical Access Hospitals · Winfield, KSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 67206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Praveena Gorantla's NPI number?
The NPI number for Praveena Gorantla is 1114107182. It was assigned to this individual provider in the NPPES registry on November 7, 2007.
Where is Praveena Gorantla located?
Praveena Gorantla practices at 1921 N Webb Rd, Wichita, KS 67206. The listed phone number is (316) 612-4815.
What is Praveena Gorantla's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Praveena Gorantla enrolled in Medicare?
Yes. Praveena Gorantla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Praveena Gorantla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Praveena Gorantla reassigns Medicare benefits to 2 organizations: Arthritis And Rheumatology Clinics Of Kansas LLC (Wichita, KS) and William Newton Memorial Hospital (Udall, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Praveena Gorantla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Praveena Gorantla accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Praveena Gorantla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Praveena Gorantla affiliated with any hospitals?
According to CMS data, Praveena Gorantla is affiliated with Nmc Health and William Newton Hospital.
When was this NPI record last updated?
The NPPES record for Praveena Gorantla was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.