DR. VENU GOURINENI MD
NPI 1154473635
Internal Medicine - Cardiovascular Disease in Canton, GA

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment
85.06/100
CMS Quality Rating
460 NORTHSIDE CHEROKEE BLVD STE 150, CANTON, GA 30115(470) 639-6250(770) 345-0712 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Jun 19, 2024, Feb 1, 2019 (3 updates tracked since 2019).

About Dr. Venu Gourineni Md NPPES

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

DR. VENU GOURINENI MD (NPI 1154473635) is an individual cardiovascular disease provider in Canton, Georgia, licensed in Michigan (4301094579) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1154473635
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. VENU GOURINENICredential: MD
Location Address460 NORTHSIDE CHEROKEE BLVD STE 150Canton, GA 30115-8018
Mailing Address460 Northside Cherokee Blvd Ste 150Canton, GA 30115-8018 · (470) 639-6250 · Fax (770) 345-0712
Fax(770) 345-0712
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
NPI 1154473635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in MI · 4301094579 Licensed in GA · 100195
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License #4301094579 (MI), MT187681 (PA)
460 NORTHSIDE CHEROKEE BLVD STE 150, Canton, GA 30115

Secondary Practice Location 1

Location 11722 Shaffer St Ste 1Kalamazoo, MI 49048-1633 · Phone (269) 381-3963

Other Identifiers 1

Medicaid1154473635MI

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. Venu Gourineni 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 ID8628120797
PECOS Enrollment IDI20241021000710
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 26

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
260 services257 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
175 services150 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.
150 services122 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.
147 services123 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
105 services80 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
78 services78 patients

Hospital Affiliations CMS Care Compare 5

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

85.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost90.14

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
70%149 patients3/55-star benchmark: 96%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
100%356 patients5/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%140 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%812 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Cardiovascular Disease)
460 NORTHSIDE CHEROKEE BLVD STE 150
CANTON, GA 30115
Physician Assistant
460 NORTHSIDE CHEROKEE BLVD STE 150
CANTON, GA 30115
Physician Assistant
460 NORTHSIDE CHEROKEE BLVD STE 150
CANTON, GA 30115
Nurse Practitioner
460 NORTHSIDE CHEROKEE BLVD STE 150
CANTON, GA 30115
Physician Assistant
460 NORTHSIDE CHEROKEE BLVD STE 150
CANTON, GA 30115
Physician Assistant
460 NORTHSIDE CHEROKEE BLVD STE 150
CANTON, GA 30115
Internal Medicine (Cardiovascular Disease)
460 NORTHSIDE CHEROKEE BLVD STE 150
CANTON, GA 30115

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 Venu Gourineni's NPI number?

The NPI number for Venu Gourineni is 1154473635. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Venu Gourineni located?

Venu Gourineni practices at 460 Northside Cherokee Blvd Ste 150, Canton, GA 30115. The listed phone number is (470) 639-6250.

What is Venu Gourineni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Venu Gourineni enrolled in Medicare?

Yes. Venu Gourineni 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.

Is Venu Gourineni affiliated with any hospitals?

According to CMS data, Venu Gourineni is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Union General Hospital, Northside Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Venu Gourineni was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.