Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Aug 16, 2024, Apr 22, 2019 and 2 more (5 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 Nmc Health, 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 UpdateOctober 5, 20265 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ 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

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.

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.

Medicare Billing Reassignments

2

Medicare 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.

Rheumatology
1921 N WEBB
Wichita, KS 67206
  • Reassigned Medicare billing, Kansas enrollment
  • 8 clinicians in this Medicare group
Multi-Specialty
101 SOUTH MAIN
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.

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 2

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

Nmc Health

Acute Care Hospitals · Newton, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170103
Location600 Medical Center DriveNewton, KS 67114 · Harvey County
Emergency services

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 12

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.

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.