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RAM GAUTAM GORANTLA MD
NPI 1114443918
Internal Medicine in Phoenix, AZ

Active since August 14, 2017PECOS EnrolledAccepts Medicare Assignment
92.28/100
CMS Quality Rating
1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 839-2000 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2021, Aug 14, 2017 (2 updates tracked since 2017).

About Ram Gautam Gorantla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAM GAUTAM GORANTLA MD (NPI 1114443918) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (64275) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114443918
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAM GAUTAM GORANTLACredential: MD
Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612
Mailing Address7710 Mercy Rd Ste 202Omaha, NE 68124-2353 · (402) 280-4392
Phone(602) 839-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 14, 2017
Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1114443918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AZ · 64275✔ Licensed in NE · 7984
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1111 E MCDOWELL RD, Phoenix, AZ 85006
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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

Ram Gautam Gorantla Md 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 ID7618375130
PECOS Enrollment IDI20211013000972
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 Reassignment

Medicare enrollment records show Ram Gorantla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner - University Hospital Based Physicians LLC
1.4 mi
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 728 clinicians in this Medicare group
NPI 1750751566 (602) 747-4000

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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services55 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

92.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost51.21

Other Providers at the Same Location NPPES 20

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

DR. CARRIE LYNN COOK D.O.
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (480) 500-2540
DANA ARCHBOLD MD
Internal Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2296
ROBIN LAURIE MCFARLANE MD
Psychiatry & Neurology (Neurology)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2266
ERICA KRIS MD
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2000
MS. MEREDITH ELIZABETH GATES PA
Physician Assistant (Medical)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2000
ALEXANDRA LEIGH KLEBER ARNP
Nurse Practitioner (Acute Care)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (812) 525-4607
RACHEL SCHWARZ PA
Physician Assistant
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-6968
CRAIG ALAN WESTLEY
Pharmacist
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN MEDICAL CENTER PHARMACY
PHOENIX, AZ 85006
Maricopa County (602) 839-4556

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 Ram Gorantla's NPI number?

The NPI number for Ram Gorantla is 1114443918. It was assigned to this individual provider in the NPPES registry on August 14, 2017.

Where is Ram Gorantla located?

Ram Gorantla practices at 1111 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (602) 839-2000.

What is Ram Gorantla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ram Gorantla enrolled in Medicare?

Yes. Ram 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 organization bills Medicare for Ram Gorantla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ram Gorantla reassigns Medicare benefits to Banner - University Hospital Based Physicians LLC (Phoenix, AZ). The 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 Ram Gorantla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ram Gorantla was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.