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GURU PRASAD GHANTA M.D.
NPI 1255310199
Specialist in Leesville, LA

Active since January 10, 2006PECOS Enrolled
1015 W FERTITTA BLVD, LEESVILLE, LA 71446(337) 239-4130(337) 238-4104 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Guru Prasad Ghanta M.d. NPPES

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

GURU PRASAD GHANTA M.D. (NPI 1255310199) is an individual specialist in Leesville, Louisiana, licensed in Louisiana (05477R) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255310199
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGURU PRASAD GHANTACredential: M.D.
Location Address1015 W FERTITTA BLVDLeesville, LA 71446-4646
Mailing Address1015 W Fertitta BlvdLeesville, LA 71446-4646 · (337) 239-4130 · Fax (337) 238-4104
Phone(337) 239-4130
Fax(337) 238-4104
Sole ProprietorYes
Enumeration DateJanuary 10, 2006
Last NPPES UpdateJanuary 13, 2011
✔ NPI 1255310199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 05477R
Definition
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.
1015 W FERTITTA BLVD, Leesville, LA 71446
Open in Google Maps ↗

Other Identifiers 5

Medicaid1313998LA
Medicare ID-Type Unspecified51051LA · Medicare Provider #
Medicare UPINB62777LA
Other05477RLA · La. State License
Other720946706LA · Tax Id #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Guru Prasad Ghanta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
57%224 patients3/55-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 3

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

WESTERN LOUISIANA INTERNAL MEDICINE
Specialist
1015 W FERTITTA BLVD
LEESVILLE, LA 71446
Vernon Parish (337) 239-4130
KSR MEDICAL LLC
Clinic/Center (Medical Specialty)
1015 W FERTITTA BLVD
LEESVILLE, LA 71446
Vernon Parish (337) 239-4130
DR. SUKREET RAJU M.B.B.S, MD
Surgery
1015 W FERTITTA BLVD
LEESVILLE, LA 71446
Vernon Parish (337) 239-4130

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 Guru Ghanta's NPI number?

The NPI number for Guru Ghanta is 1255310199. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Guru Ghanta located?

Guru Ghanta practices at 1015 W Fertitta Blvd, Leesville, LA 71446. The listed phone number is (337) 239-4130.

What is Guru Ghanta's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Guru Ghanta enrolled in Medicare?

Yes. Guru Ghanta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Guru Ghanta was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.