DR. VISWANATH GAJULA MD
NPI 1710113998
Pediatrics - Pediatric Critical Care Medicine in Jackson, MS
About Dr. Viswanath Gajula Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VISWANATH GAJULA MD (NPI 1710113998) is an individual pediatric critical care medicine provider in Jackson, Mississippi, licensed in Mississippi (23809) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Viswanath Gajula Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Viswanath Gajula reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Starkville, MS 39759
- Reassigned Medicare billing, Mississippi enrollment
- 581 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Viswanath Gajula's NPI number?
The NPI number for Viswanath Gajula is 1710113998. It was assigned to this individual provider in the NPPES registry on June 2, 2009.
Where is Viswanath Gajula located?
Viswanath Gajula practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 815-8173.
What is Viswanath Gajula's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Viswanath Gajula enrolled in Medicare?
Yes. Viswanath Gajula is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Viswanath Gajula's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Viswanath Gajula reassigns Medicare benefits to 2 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS) and North Mississippi Medical Center, Inc. (Starkville, MS). 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 Viswanath Gajula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Viswanath Gajula accept?
Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Viswanath Gajula 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 Viswanath Gajula was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Viswanath Gajula, MD · NPI 1710113998
Pediatric Critical Care Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since June 2, 2009.
## Identity
- **NPI:** 1710113998 (Entity type: Individual)
- **Enumerated:** June 2, 2009
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 23809 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 815-8173
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); North Mississippi Medical Center, Inc. (NPI 1205616802, Starkville, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2015
- **Other identifiers:** Medicaid 05158239 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1710113998) · Data from the CMS NPPES public registry.