DR. PRAVEENA GORANTLA M.D
NPI 1114107182
Internal Medicine - Rheumatology in Wichita, KS

Active since November 07, 2007PECOS EnrolledAccepts Medicare Assignment
75.37/100
CMS Quality Rating
1921 N WEBB RD, WICHITA, KS 67206(316) 612-4815(316) 612-4825 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, Apr 22, 2019, Dec 18, 2018 and 1 more (4 updates tracked since 2016).

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 William Newton Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1114107182
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. PRAVEENA GORANTLACredential: M.D
Location Address1921 N WEBB RDWichita, KS 67206-3405
Mailing Address1921 N Webb RdWichita, KS 67206-3405 · (316) 612-4815 · Fax (316) 612-4825
Fax(316) 612-4825
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 7, 2007
Last NPPES UpdateAugust 16, 20244 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1114107182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in KS · 04-33130
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1921 N WEBB RD, Wichita, KS 67206

Other Identifiers 2

Medicaid200569320AKS
OtherP01144793Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4385710607
PECOS Enrollment IDI20080910000061
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
6,436 services14 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,920 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
250 services155 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
242 services122 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
207 services120 patients
Red blood cell sedimentation rate, to detect inflammation, automated 85652
The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.
200 services116 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

William Newton Hospital

Critical Access Hospitals · Winfield, KS
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171383
Location1300 East Fifth AvenueWinfield, KS 67156 · Cowley County
Emergency services Birthing friendly

Physician 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.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.73
Promoting Interoperability99
Improvement Activities40
Cost35.02

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Rheumatology)
1921 N WEBB RD
WICHITA, KS 67206
Internal Medicine (Rheumatology)
1921 N WEBB RD
WICHITA, KS 67206
Internal Medicine (Rheumatology)
1921 N WEBB RD
WICHITA, KS 67206
Physician Assistant
1921 N WEBB RD
WICHITA, KS 67206
Nurse Practitioner (Acute Care)
1921 N WEBB RD
WICHITA, KS 67206
Internal Medicine (Rheumatology)
1921 N WEBB RD
WICHITA, KS 67206
Physician Assistant
1921 N WEBB RD
WICHITA, KS 67206
Internal Medicine (Rheumatology)
1921 N WEBB RD
WICHITA, KS 67206

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.

What insurance does Praveena Gorantla accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers 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 William Newton Hospital.

When was this NPI record last updated?

The NPPES record for Praveena Gorantla was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.