GOPI K PATIBANDLA MD
NPI 1265710065
Internal Medicine in Virginia Beach, VA

Active since July 27, 2011PECOS EnrolledAccepts Medicare Assignment
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454(757) 395-8000 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2023, Aug 16, 2021 (2 updates tracked since 2021).

About Gopi K Patibandla Md NPPES

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

GOPI K PATIBANDLA MD (NPI 1265710065) is an individual internal medicine provider in Virginia Beach, Virginia, licensed in Virginia (0101278978) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Sentara Virginia Beach General Hospital, and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1265710065
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGOPI K PATIBANDLACredential: MD
Location Address1060 FIRST COLONIAL RDVirginia Beach, VA 23454-3002
Mailing Address1060 First Colonial RdVirginia Beach, VA 23454-3002 · (757) 395-8000
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2014
Enumeration DateJuly 27, 2011
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
NPI 1265710065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in VA · 0101278978 Licensed in OH · 35.130799 Licensed in TX · BP10040141 Licensed in MD · D0077243
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.
Also ListedHospitalistTaxonomy 208M00000X · License 0101278978 (VA)
1060 FIRST COLONIAL RD, Virginia Beach, VA 23454

Other Names 1

Other Name (5)Gopi Krishna Patibandla Md

Secondary Practice Location 1

Location 11320 Mercy Dr NWCanton, OH 44708-2614 · Phone (330) 489-1000

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

Gopi K Patibandla 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 ID8820221443
PECOS Enrollment IDI20231017003753
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
362 services148 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.
232 services109 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
127 services124 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.
80 services80 patients

Hospital Affiliations CMS Care Compare

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

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23454 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
85%159 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier48 claims48 services$15.78 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier60 claims60 services$82.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Internal Medicine
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Internal Medicine
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Radiology (Radiation Oncology)
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Pharmacist
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Nurse Practitioner (Acute Care)
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Anesthesiology
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Internal Medicine
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454

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 Gopi Patibandla's NPI number?

The NPI number for Gopi Patibandla is 1265710065. It was assigned to this individual provider in the NPPES registry on July 27, 2011. The provider is also known as Gopi Krishna Patibandla MD.

Where is Gopi Patibandla located?

Gopi Patibandla practices at 1060 First Colonial Rd, Virginia Beach, VA 23454. The listed phone number is (757) 395-8000.

What is Gopi Patibandla's specialty?

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

Is Gopi Patibandla enrolled in Medicare?

Yes. Gopi Patibandla 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 Gopi Patibandla affiliated with any hospitals?

According to CMS data, Gopi Patibandla is affiliated with Sentara Virginia Beach General Hospital.

When was this NPI record last updated?

The NPPES record for Gopi Patibandla was last updated on August 25, 2023. 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.