DR. VIJAYA KUMAR GOGINENI MD
NPI 1821280207
Internal Medicine - Pulmonary Disease in Cedar Rapids, IA

Active since August 09, 2007PECOS Enrolled
855 A AVE NE STE 400, CEDAR RAPIDS, IA 52402(319) 363-3565(319) 363-4001 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vijaya Kumar Gogineni Md NPPES

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

DR. VIJAYA KUMAR GOGINENI MD (NPI 1821280207) is an individual pulmonary disease provider in Cedar Rapids, Iowa, licensed in Iowa (40972) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1821280207
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. VIJAYA KUMAR GOGINENICredential: MD
Location Address855 A AVE NE STE 400Cedar Rapids, IA 52402-5064
Mailing Address855 A Ave Ne Ste 400Cedar Rapids, IA 52402-5064 · (319) 363-3565 · Fax (319) 363-4001
Fax(319) 363-4001
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 9, 2007
Last NPPES UpdateJune 17, 2019
NPI 1821280207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IA · 40972
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
855 A AVE NE STE 400, Cedar Rapids, IA 52402

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 (PECOS)

Dr. Vijaya Kumar Gogineni Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315180171
PECOS Enrollment IDI20130826000797
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 19

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
347 services163 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
294 services118 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.
206 services161 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.
166 services151 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
76 services72 patients
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.
67 services42 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160045
Location1026 A Ave NECedar Rapids, IA 52402 · Linn County
Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Finley Hospital

Acute Care Hospitals · Dubuque, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160117
Location350 North Grandview AvenueDubuque, IA 52001 · Dubuque County
Emergency services Birthing friendly

Jones Regional Medical Center

Critical Access Hospitals · Anamosa, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161306
Location1795 Highway 64 EastAnamosa, IA 52205 · Jones County
Emergency services

Regional Medical Center

Critical Access Hospitals · Manchester, IA
OwnershipGovernment - Local
CMS Certification Number161343
Location709 W Main StreetManchester, IA 52057 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52402 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 30

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers40 claims40 services$36.27 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
6 suppliers14 claims14 services$14.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers68 claims68 services$92.10 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers61 claims138 services$35.98 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers27 claims138 services$19.63 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers25 claims122 services$14.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner
855 A AVE NE STE 400
CEDAR RAPIDS, IA 52402
Nurse Practitioner (Acute Care)
855 A AVE NE STE 400
CEDAR RAPIDS, IA 52402
Nurse Practitioner (Acute Care)
855 A AVE NE STE 400
CEDAR RAPIDS, IA 52402
Internal Medicine (Critical Care Medicine)
855 A AVE NE STE 400
CEDAR RAPIDS, IA 52402
Internal Medicine (Pulmonary Disease)
855 A AVE NE STE 400
CEDAR RAPIDS, IA 52402
Nurse Practitioner (Family)
855 A AVE NE STE 400
CEDAR RAPIDS, IA 52402
Nurse Practitioner (Family)
855 A AVE NE STE 400
CEDAR RAPIDS, IA 52402

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 Gogineni's NPI number?

The NPI number for Vijaya Gogineni is 1821280207. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Vijaya Gogineni located?

Vijaya Gogineni practices at 855 A Ave NE Ste 400, Cedar Rapids, IA 52402. The listed phone number is (319) 363-3565.

What is Vijaya Gogineni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Vijaya Gogineni enrolled in Medicare?

Yes. Vijaya Gogineni is registered in the Medicare PECOS enrollment system.

What insurance does Vijaya Gogineni accept?

Health plans from Medica list Vijaya Gogineni 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 Gogineni affiliated with any hospitals?

According to CMS data, Vijaya Gogineni is affiliated with St Lukes Hospital, Allen Hospital, Finley Hospital, Jones Regional Medical Center and Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Vijaya Gogineni was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.