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DR. VIJAYA KUMAR GORANTLA M.D
NPI 1679839666
Internal Medicine - Nephrology in Memphis, TN

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
92.88/100
CMS Quality Rating
3950 NEW COVINGTON PIKE STE 300, MEMPHIS, TN 38128(901) 382-5256(901) 382-3731 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2020, Jun 21, 2019 (2 updates tracked since 2019).

About Dr. Vijaya Kumar Gorantla M.d NPPES

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

DR. VIJAYA KUMAR GORANTLA M.D (NPI 1679839666) is an individual nephrology provider in Memphis, Tennessee, licensed in Tennessee (59449) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1679839666
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. VIJAYA KUMAR GORANTLACredential: M.D
Location Address3950 NEW COVINGTON PIKE STE 300Memphis, TN 38128-2593
Mailing Address3950 New Covington Pike Ste 300Memphis, TN 38128-2593 · (901) 382-5256 · Fax (901) 382-3731
Phone(901) 382-5256
Fax(901) 382-3731
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 4, 2012
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1679839666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TN · 59449
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3950 NEW COVINGTON PIKE STE 300, Memphis, TN 38128
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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. Vijaya Kumar Gorantla M.d 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 ID7810225851
PECOS Enrollment IDI20190828003194
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 10

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 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.
1,760 services316 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
233 services75 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.
176 services165 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
121 services33 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.
81 services50 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
74 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

St Francis Hospital

Acute Care Hospitals · Memphis, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440183
Location5959 Park AveMemphis, TN 38119 · Shelby County
Emergency services Birthing friendly

Saint Francis Bartlett Medical Center

Acute Care Hospitals · Bartlett, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440228
Location2986 Kate Bond RdBartlett, TN 38133 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38128 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

92.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.75
Improvement Activities40
Cost90.8

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
1%125 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
43%157 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
52%93 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%525 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%140 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%261 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%233 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
74%108 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 161 patients
99%161 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 149 patients
Patients totalRate: 3% · 149 patients
3%149 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.

Other Providers at the Same Location NPPES 2

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

KRISTI FORD DNP, FNP-C
Nurse Practitioner
3950 NEW COVINGTON PIKE STE 300
MEMPHIS, TN 38128
Shelby County (901) 382-5256
MINESH BABUL PATHAK M.D.
Internal Medicine (Nephrology)
3950 NEW COVINGTON PIKE STE 300
MEMPHIS, TN 38128
Shelby County (901) 382-5256

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 Vijaya Kumar Gorantla's NPI number?

The NPI number for Vijaya Kumar Gorantla is 1679839666. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Vijaya Kumar Gorantla located?

Vijaya Kumar Gorantla practices at 3950 New Covington Pike Ste 300, Memphis, TN 38128. The listed phone number is (901) 382-5256.

What is Vijaya Kumar Gorantla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Vijaya Kumar Gorantla enrolled in Medicare?

Yes. Vijaya Kumar Gorantla 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 Vijaya Kumar Gorantla accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Vijaya Kumar 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.

Is Vijaya Kumar Gorantla affiliated with any hospitals?

According to CMS data, Vijaya Kumar Gorantla is affiliated with Baptist Memorial Hospital, Methodist Hospitals Of Memphis, St Francis Hospital and Saint Francis Bartlett Medical Center.

When was this NPI record last updated?

The NPPES record for Vijaya Kumar Gorantla was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.