GURU PRASAD GHANTA M.D.
NPI 1255310199
Specialist in Leesville, LA
NPI Status: Active since January 10, 2006
Contact Information
1015 W FERTITTA BLVD
LEESVILLE, LA
ZIP 71446
Phone: (337) 239-4130
Fax: (337) 238-4104
- Individual
- Male
- Specialist
- PECOS Enrolled
- Medicare Quality Reporting
About GURU GHANTA
This page provides the complete NPI Profile along with additional information for Guru Ghanta, a provider established in Leesville, Louisiana with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1255310199 assigned on January 2006. The practitioner's primary taxonomy code is 174400000X with license number 05477R (LA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1255310199
- Provider Name
- GURU PRASAD GHANTA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1015 W FERTITTA BLVD LEESVILLE, LA 71446
- Location Phone
- (337) 239-4130
- Location Fax
- (337) 238-4104
- Mailing Address
- 1015 W FERTITTA BLVD LEESVILLE, LA 71446
- Mailing Phone
- (337) 239-4130
- Mailing Fax
- (337) 238-4104
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-10-2006
- Last Update Date
- 01-13-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 05477R
- License State
- LA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1313998 | MEDICAID (05) | LA | |
| 51051 | MEDICARE ID-TYPE UNSPECIFIED (04) | LA | MEDICARE PROVIDER # |
| B62777 | MEDICARE UPIN (02) | LA | |
| 05477R | OTHER (01) | LA | LA. STATE LICENSE |
| 720946706 | OTHER (01) | LA | TAX ID # |
Medicare Participation & PECOS Enrollment Status
Guru Ghanta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 57% | 224 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255310199, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255310199, enumerated as an "individual" on January 10, 2006.
The provider is located at 1015 W FERTITTA BLVD LEESVILLE, LA 71446 and the phone number is (337) 239-4130.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
