Individual provider Active NPI

Vijay K Gunuganti, M.D.

  • Medical Oncology Physician
  • San Antonio, TX
National Provider Identifier
1073535076
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
M1427 Issued in TX
Practice address
18707 Hardy Oak Blvd
Suite 320
San Antonio, TX 78258-4791
Phone
(210) 545-6972
Fax
(210) 545-1016
NPI assigned
Jul 25, 2006
Last updated
Jan 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X M1427 TX Primary

Addresses

Primary practice location

18707 Hardy Oak Blvd
Suite 320
San Antonio, TX 78258-4791

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 7

IdentifierTypeStateIssuer
P01547608OtherTXRAILROAD MEDICARE
8S2181OtherTXBLUECROSS/BLUESHIELD TX.
174969901MedicaidTX
P00250234OtherTXRAILROAD MEDICARE
174969902MedicaidTX
1121552OtherTXAETNA HMO
7326655OtherTXAETNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816001120 TX Practitioner - Medical OncologyPractitioner - Internal Medicine 2567439839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians
Greater Texas Palliative Care Services PLLCGroup PAC ID 3971852278, 3 clinicians

Practice addresses (Care Compare)

18707 Hardy Oak Blvd
Suite 320
San Antonio, TX 78258-4890
Phone (210) 545-6972

3218 Nacogdoches Rd
San Antonio, TX 78217-3321
Phone (210) 714-3014

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Light Health LLC Current Accepting new patients
Guiding Light Hospice, Inc. CurrentSince Apr 9, 2013 Accepting new patients
Texas Oncology PA Medical Oncology CurrentSince Oct 1, 2015 Accepting new patients
Texas Oncology PA Medical Oncology CurrentSince Oct 1, 2015 Accepting new patients
Greater Texas Palliative Care Services PLLC CurrentSince Jul 10, 2018 Accepting new patients
Cancer Care Network of South Texas PA Medical Oncology Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
Uvalde County Hospital Authority Past Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

18707 Hardy Oak Blvd
Ste 320
San Antonio, TX 78258
Phone (210) 545-6972

2130 NE Loop 410
Ste 100
San Antonio, TX 78217
Phone (210) 242-6541

3218 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 254-5119

4411 Medical Dr
Ste 100
San Antonio, TX 78229
Phone (210) 595-5326

Interoperability endpoints

  • Direct secure messaging: vijay.gunuganti@txo.ikm.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Guiding Light HospiceSan Antonio, TX, CCN 741503 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Apr 9, 2013
Apr 9, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1073535076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD",
            "address_2": "SUITE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584791",
            "telephone_number": "210-545-6972",
            "fax_number": "210-545-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNUGANTI",
        "first_name": "VIJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "M1427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01547608",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD TX.",
            "identifier": "8S2181",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174969901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00250234",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174969902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1121552",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7326655",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.