Individual provider Active NPI

Jagan Mohan Rao Vanjarapu, MD

  • Internal Medicine Physician
  • Corning, NY
National Provider Identifier
1093489486
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
331881 Issued in NY
Practice address
1 Guthrie Dr
Corning, NY 14830-3696
Phone
(607) 937-7200
NPI assigned
Aug 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 331881 NY Primary

Addresses

Primary practice location

1 Guthrie Dr
Corning, NY 14830-3696

Mailing address

1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 937-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240909001355 NY Practitioner - HospitalistPractitioner - Internal Medicine 4981144631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 973-7200

Hospital & facility affiliations

  • Corning Hospital Hospital, Corning, NY, CCN 330277
  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079
  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331881NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Corning Hospital Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: jvanjarapu216235@direct-guthrie.org

Organizations & group practices 3

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

Hospital & facility affiliations 4

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1093489486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE DR",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148303696",
            "telephone_number": "607-937-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE DR",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148303696",
            "telephone_number": "607-937-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANJARAPU",
        "first_name": "JAGAN MOHAN RAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "331881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.