DR. KRISHNA V GUMIDYALA MD
NPI 1649486994
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Atlanta, GA

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
5667 PEACHTREE DUNWOODY RD STE 220, ATLANTA, GA 30342(404) 252-2422(404) 252-6223 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Krishna V Gumidyala Md NPPES

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

DR. KRISHNA V GUMIDYALA MD (NPI 1649486994) is an individual orthopaedic surgery of the spine provider in Atlanta, Georgia, licensed in Georgia (.064382) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2004).

NPPES Registry Identity

NPI1649486994
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. KRISHNA V GUMIDYALACredential: MD
Location Address5667 PEACHTREE DUNWOODY RD STE 220Atlanta, GA 30342-1725
Mailing Address5667 Peachtree Dunwoody Rd Ste 220Atlanta, GA 30342-1725 · (404) 252-2422 · Fax (404) 252-6223
Fax(404) 252-6223
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2004
Enumeration DateMay 15, 2007
Last NPPES UpdateFebruary 6, 2023
NPPES CertifiedJanuary 30, 2023
NPI 1649486994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in GA · .064382
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 064382 (GA)
5667 PEACHTREE DUNWOODY RD STE 220, Atlanta, GA 30342

Accepted Insurance

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. Krishna V Gumidyala 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 ID648324251
PECOS Enrollment IDI20180815002970
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 15

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
220 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
199 services132 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.
90 services87 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
53 services22 patients
X-ray lower and sacral spine, minimum of 6 views 72114
An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.
48 services48 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Orthopaedic Surgery
5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342
Orthopaedic Surgery
5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342
Physician Assistant (Surgical)
5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342

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 Krishna Gumidyala's NPI number?

The NPI number for Krishna Gumidyala is 1649486994. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Krishna Gumidyala located?

Krishna Gumidyala practices at 5667 Peachtree Dunwoody Rd Ste 220, Atlanta, GA 30342. The listed phone number is (404) 252-2422.

What is Krishna Gumidyala's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Krishna Gumidyala enrolled in Medicare?

Yes. Krishna Gumidyala 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.

What insurance does Krishna Gumidyala accept?

Health plans from Alliant Health Plans, Inc. list Krishna Gumidyala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Krishna Gumidyala affiliated with any hospitals?

According to CMS data, Krishna Gumidyala is affiliated with Tanner Medical Center - Carrollton and Tanner Medical Center Villa Rica.

When was this NPI record last updated?

The NPPES record for Krishna Gumidyala was last updated on February 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.