DR. VENKATA C GOURINENI MD
NPI 1972733616
Internal Medicine - Gastroenterology in Oak Ridge, TN

Q: What is Venkata Gourineni's NPI number?

The NPI number for Venkata Gourineni is 1972733616. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Q: What is Venkata Gourineni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Venkata Gourineni was last updated on August 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment

988 OAK RIDGE TPKE, SUITE 200, OAK RIDGE, TN 37830(865) 483-4366 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2016, Aug 9, 2016, Jul 13, 2016 and 1 more (4 updates tracked since 2015).

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About Dr. Venkata C Gourineni Md NPPES

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

DR. VENKATA C GOURINENI MD (NPI 1972733616) is an individual gastroenterology provider in Oak Ridge, Tennessee, licensed in Tennessee (45468) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972733616

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. VENKATA C GOURINENICredential: MD

Location Address988 OAK RIDGE TPKE, SUITE 200Oak Ridge, TN 37830-6930

Mailing Address988 Oak Ridge Tpke, Suite 200Oak Ridge, TN 37830-6930 · (865) 483-4366

Phone(865) 483-4366

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 15, 2009

Last NPPES UpdateAugust 24, 20164 updates tracked since enumeration

✔ NPI 1972733616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TN · 45468

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 51178 (CT)

988 OAK RIDGE TPKE, Oak Ridge, TN 37830

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Other Identifiers 2

MedicaidQ022553TN

Medicare PIN103I102611TN

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. Venkata C Gourineni 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 ID2264680149

PECOS Enrollment IDI20160822002910

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 12

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

81 services80 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

54 services53 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

45 services43 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

37 services36 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.

32 services22 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.

27 services22 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

26 services26 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

23 services18 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.

21 services17 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

17 services17 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

15 services15 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440009

Location421 S Main StCrossville, TN 38555 · Cumberland County

Emergency services Birthing friendly

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440034

Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County

Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440125

Location1901 W Clinch AveKnoxville, TN 37916 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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.

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.

MRS. PAULA JANE MARSHALL D.PH.

Pharmacist (Pharmacotherapy)

988 OAK RIDGE TPKE
OAK RIDGE, TN 37830

Anderson County (865) 481-0653

KENNETH FREDERICK LUCKMANN MD

Internal Medicine (Gastroenterology)

988 OAK RIDGE TPKE, SUITE 200, PHYSICIANS PLAZA
OAK RIDGE, TN 37830

Anderson County (865) 483-4366

PHILLIP MORGAN RICKS MD

Internal Medicine (Gastroenterology)

988 OAK RIDGE TPKE, SUITE 200, PHYSICIANS PLAZA
OAK RIDGE, TN 37830

Anderson County (865) 483-4366

CHARLES F GHOLSON MD

Internal Medicine (Gastroenterology)

988 OAK RIDGE TPKE, SUITE 200, PHYSICIANS PLAZA
OAK RIDGE, TN 37830

Anderson County (865) 483-4366

DR. ELZBIETA E GORNISIEWICZ MD

Psychiatry & Neurology (Neurology)

988 OAK RIDGE TPKE, SUITE 300
OAK RIDGE, TN 37830

Anderson County (865) 481-0333

DR. JOSEPH METCALF IV MD

Surgery

988 OAK RIDGE TPKE, SUITE 350
OAK RIDGE, TN 37830

Anderson County (865) 483-7030

MRS. MARY CHRISTINA STAUBER P.A.-C.

Physician Assistant (Surgical)

988 OAK RIDGE TPKE, PHYSICIANS PLAZA, STE 350
OAK RIDGE, TN 37830

Anderson County (865) 483-7030

MS. MARY S CLEMENS FNP

Nurse Practitioner (Family)

988 OAK RIDGE TPKE, SUITE L-50, PHYSICIANS PLAZA
OAK RIDGE, TN 37830

Anderson County (865) 835-4320

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 Venkata Gourineni's NPI number?

The NPI number for Venkata Gourineni is 1972733616. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Venkata Gourineni located?

Venkata Gourineni practices at 988 Oak Ridge Tpke Suite 200, Oak Ridge, TN 37830. The listed phone number is (865) 483-4366.

What is Venkata Gourineni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Venkata Gourineni enrolled in Medicare?

Yes. Venkata Gourineni 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 Venkata Gourineni 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 2 other insurers list Venkata Gourineni 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 Venkata Gourineni affiliated with any hospitals?

According to CMS data, Venkata Gourineni is affiliated with Cumberland Medical Center, Methodist Medical Center Of Oak Ridge and Fort Sanders Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Venkata Gourineni was last updated on August 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.