DR. VINAY KUMAR GUDENA M.D.
NPI 1851374292
Internal Medicine - Hematology & Oncology in Greensboro, NC

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
501 N ELAM AVE, GREENSBORO, NC 27403(336) 832-1100 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vinay Kumar Gudena M.d. NPPES

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

DR. VINAY KUMAR GUDENA M.D. (NPI 1851374292) is an individual hematology & oncology provider in Greensboro, North Carolina, licensed in North Carolina (201500524) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and maintains a secondary practice location in Sandusky.

NPPES Registry Identity

NPI1851374292
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. VINAY KUMAR GUDENACredential: M.D.
Location Address501 N ELAM AVEGreensboro, NC 27403-1118
Mailing AddressPo Box 8792Belfast, ME 04915-8792 · (419) 557-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 21, 2005
Last NPPES UpdateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
NPI 1851374292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NC · 201500524
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
501 N ELAM AVE, Greensboro, NC 27403

Secondary Practice Location 1

Location 11111 Hayes AveSandusky, OH 44870-3323 · Phone (440) 557-7400

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 and accepts Medicare assignment

Dr. Vinay Kumar Gudena 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 ID9739107715
PECOS Enrollment IDI20151202000201
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 6

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.

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.
312 services109 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.
285 services249 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
74 services53 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
24 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27403 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 4

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
1 supplier52 claims179 services$35.74 avg. paid by Medicare
Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type L8001
DME-Orthotic Devices · category DF000N
1 supplier26 claims71 services$104.47 avg. paid by Medicare
Breast prosthesis, mastectomy form L8020
DME-Orthotic Devices · category DF000N
1 supplier33 claims38 services$188.64 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
1 supplier20 claims24 services$272.66 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 20

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

Internal Medicine (Hematology & Oncology)
501 N ELAM AVE
GREENSBORO, NC 27403
Internal Medicine (Hematology & Oncology)
501 N ELAM AVE
GREENSBORO, NC 27403
Physician Assistant
501 N ELAM AVE
GREENSBORO, NC 27403
Nurse Anesthetist, Certified Registered
501 N ELAM AVE
GREENSBORO, NC 27403
Anesthesiology
501 N ELAM AVE
GREENSBORO, NC 27403
Genetic Counselor, MS
501 N ELAM AVE
GREENSBORO, NC 27403
Nurse Anesthetist, Certified Registered
501 N ELAM AVE
GREENSBORO, NC 27403
Nurse Anesthetist, Certified Registered
501 N ELAM AVE
GREENSBORO, NC 27403

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 Vinay Gudena's NPI number?

The NPI number for Vinay Gudena is 1851374292. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Vinay Gudena located?

Vinay Gudena practices at 501 N Elam Ave, Greensboro, NC 27403. The listed phone number is (336) 832-1100.

What is Vinay Gudena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Vinay Gudena enrolled in Medicare?

Yes. Vinay Gudena 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 Vinay Gudena accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Vinay Gudena 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 Vinay Gudena affiliated with any hospitals?

According to CMS data, Vinay Gudena is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Vinay Gudena was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.