Active NPI
Vijay S Gorantla, MD, PHD
- Surgery Physician
- Pittsburgh, PA
National Provider Identifier
1104267384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD442279
- Practice address
- 3550 Terrace St
Suite 670 Scaife Hall
Pittsburgh, PA 15213-2500 - Phone
- (412) 648-9677
- NPI assigned
- Jul 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD442279 | PA | Primary |
Addresses
Primary practice location
3550 Terrace St
Suite 670 Scaife Hall
Pittsburgh, PA 15213-2500
Mailing address
3550 Terrace St
Suite 670 Scaife Hall
Pittsburgh, PA 15213-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD442279 | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1104267384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 TERRACE ST",
"address_2": "SUITE 670 SCAIFE HALL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 TERRACE ST",
"address_2": "SUITE 670 SCAIFE HALL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132500",
"telephone_number": "412-648-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORANTLA",
"first_name": "VIJAY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD442279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.