GAYATHRI D. BALJEPALLY MD
NPI 1861586109
Internal Medicine - Cardiovascular Disease in Knoxville, TN

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1940 ALCOA HWY, STE E 310, KNOXVILLE, TN 37920(865) 544-2800(865) 544-6812 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gayathri D. Baljepally Md NPPES

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

GAYATHRI D. BALJEPALLY MD (NPI 1861586109) is an individual cardiovascular disease provider in Knoxville, Tennessee, licensed in Tennessee (34644) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1861586109
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameGAYATHRI D. BALJEPALLYCredential: MD
Location Address1940 ALCOA HWY, STE E 310Knoxville, TN 37920-2244
Mailing AddressPo Box 440165Nashville, TN 37244-0165 · (865) 544-2800 · Fax (865) 544-6812
Fax(865) 544-6812
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 3, 2006
Last NPPES UpdateNovember 14, 2016
NPI 1861586109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TN · 34644
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1940 ALCOA HWY, Knoxville, TN 37920

Other Names 1

Former Name (1)Gayathri Kuchibotla

Other Identifiers 3

MedicaidQ006266TN
Medicare PIN103I062738TN
Medicare UPINH30452TN

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

Gayathri D. Baljepally Md 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 ID3779778832
PECOS Enrollment IDI20101115000754
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 25

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
484 services393 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
458 services450 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
288 services270 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.
280 services247 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.
167 services87 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
65 services65 patients

Hospital Affiliations CMS Care Compare 2

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440081
Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
1940 ALCOA HWY, STE 180
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1940 ALCOA HWY
KNOXVILLE, TN 37920
Family Medicine
1940 ALCOA HWY, E40
KNOXVILLE, TN 37920
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1940 ALCOA HWY, SUITE E310
KNOXVILLE, TN 37920
Nurse Practitioner (Family)
1940 ALCOA HWY, SUITE E310
KNOXVILLE, TN 37920
Surgery (Vascular Surgery)
1940 ALCOA HWY, E120
KNOXVILLE, TN 37920
Internal Medicine (Cardiovascular Disease)
1940 ALCOA HWY, STE 310
KNOXVILLE, TN 37920
Nurse Practitioner (Family)
1940 ALCOA HWY, SUITE E-310
KNOXVILLE, TN 37920

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 Gayathri Baljepally's NPI number?

The NPI number for Gayathri Baljepally is 1861586109. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Gayathri Kuchibotla.

Where is Gayathri Baljepally located?

Gayathri Baljepally practices at 1940 Alcoa Hwy Ste E 310, Knoxville, TN 37920. The listed phone number is (865) 544-2800.

What is Gayathri Baljepally's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gayathri Baljepally enrolled in Medicare?

Yes. Gayathri Baljepally 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 Gayathri Baljepally accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Gayathri Baljepally 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 Gayathri Baljepally affiliated with any hospitals?

According to CMS data, Gayathri Baljepally is affiliated with University Health System, Inc and Leconte Medical Center.

When was this NPI record last updated?

The NPPES record for Gayathri Baljepally was last updated on November 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.