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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Krishna Gumidyala was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: October 18, 2026.

On this page

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

Phone(404) 252-2422

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Krishna Gumidyala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC

5.7 mi

Family Medicine

1010 JOHNSON FERRY RD
Marietta, GA 30068

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1053617621 (770) 973-7302

Carrollton Orthopaedic Clinic PC

48 mi

Rheumatology

150 CLINIC AVE, SUITE 101
Carrollton, GA 30117

Reassigned Medicare billing, Georgia enrollment
26 clinicians in this Medicare group

NPI 1356483747 (770) 834-0873

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

24 services24 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

23 services19 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

23 services23 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

21 services21 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

15 services12 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

14 services13 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

12 services12 patients

Mri scan of middle spinal canal without contrast 72146

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

11 services11 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

Quality

80.38

Promoting Interoperability

100

Improvement Activities

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.

GUMIDYALA ORTHOPEDICS

Orthopaedic Surgery

5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342

Fulton County (404) 252-2422

DR. MAJOR BENJAMIN BURCH M.D.

Orthopaedic Surgery

5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342

Fulton County (404) 252-6223

DR. PLAS T JAMES MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342

Fulton County (404) 252-2422

JASON WEDDINGTON PA-C

Physician Assistant (Surgical)

5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342

Fulton County (404) 252-2422

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.

Which organizations bill Medicare for Krishna Gumidyala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krishna Gumidyala reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and Carrollton Orthopaedic Clinic PC (Carrollton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krishna Gumidyala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.