Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VENKATESAN R GORANTLA M.D.
NPI 1659302891
Pediatrics - Neonatal-Perinatal Medicine in Jacksonville, FL

Q: What is Venkatesan Gorantla's NPI number?

The NPI number for Venkatesan Gorantla is 1659302891. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Venkatesan Gorantla's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since July 05, 2006PECOS Enrolled

655 W 8TH ST FL CC6, JACKSONVILLE, FL 32209(513) 310-2392 Get Directions Write a Review

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

Record update history: Jul 13, 2026, Jan 12, 2023, Nov 23, 2022 and 2 more (5 updates tracked since 2017).

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About Venkatesan R Gorantla M.d. NPPES

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

VENKATESAN R GORANTLA M.D. (NPI 1659302891) is an individual neonatal-perinatal medicine provider in Jacksonville, Florida, licensed in Florida (ME102628) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Elizabethtown.

NPPES Registry Identity

NPI1659302891

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameVENKATESAN R GORANTLACredential: M.D.

Location Address655 W 8TH ST FL CC6Jacksonville, FL 32209-6511

Mailing Address655 W 8th St Fl Cc6Jacksonville, FL 32209-6511 · (513) 310-2392

Phone(513) 310-2392

Sole ProprietorNo

Enumeration DateJuly 5, 2006

Last NPPES UpdateJuly 13, 20265 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1659302891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in FL · ME102628✔ Licensed in KY · 42371

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

655 W 8TH ST FL CC6, Jacksonville, FL 32209

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Secondary Practice Location 1

Location 1913 N Dixie AveElizabethtown, KY 42701-2503 · Phone (502) 588-0982 · Fax (502) 588-0987

Other Identifiers 2

Medicaid200523260IN

Other000000593692IN · Anthem Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Venkatesan R Gorantla 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.

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 Venkatesan Gorantla's NPI number?

The NPI number for Venkatesan Gorantla is 1659302891. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Venkatesan Gorantla located?

Venkatesan Gorantla practices at 655 W 8th St Fl Cc6, Jacksonville, FL 32209. The listed phone number is (513) 310-2392.

What is Venkatesan Gorantla's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Venkatesan Gorantla enrolled in Medicare?

Yes. Venkatesan Gorantla is registered in the Medicare PECOS enrollment system.

What insurance does Venkatesan Gorantla accept?

Health plans from CareSource list Venkatesan Gorantla 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.

When was this NPI record last updated?

The NPPES record for Venkatesan Gorantla was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.