Praveena Gorantla, M.D

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

04-33130 Issued in KS

Practice address

1921 N Webb Rd
Wichita, KS 67206-3405

Phone

(316) 612-4815

Fax

(316) 612-4825

NPI assigned

Nov 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

RheumatologyAlso: Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arthritis and Rheumatology Clinics of Kansas LLCGroup PAC ID 6800881194, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• William Newton Hospital Hospital, Winfield, KS, CCN 171383

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Quality

97.45

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pgorantla390868@direct.saint-lukes.org
• Direct secure messaging: praveena.gorantla@direct.arck.nextgenshare.com

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.

• Arthritis and Rheumatology Clinics of Kansas LLC

  • Rheumatology Physician
  • Wichita, KS
  • NPI 1700881646
  Medicare reassignment Care Compare group NPD
• William Newton Memorial Hospital

  • Critical Access Hospital
  • Winfield, KS
  • NPI 1548229149
  Medicare reassignment NPD
• Arthritis and Rheumatology Clinics of Kansas LLC

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
  • NPI 1134016959
  NPD
• JRMC Specialty Group Practice

  • Internal Medicine Physician
  • Jefferson Hills, PA
  • NPI 1164443842
  NPD (past)

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

• William Newton Memorial Hospital

  • Critical Access Hospital
  • Winfield, KS
  • NPI 1548229149
  Care Compare affiliation

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1114107182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-612-4815",
            "fax_number": "316-612-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-612-4815",
            "fax_number": "316-612-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORANTLA",
        "first_name": "PRAVEENA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KS",
            "license": "04-33130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200569320A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01144793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goodwill Industries Easter Seals of KS, Inc.
• Myreik Goodwin-Lagree
• Adam Matthew Goodwin, DO
• Shannon Dannielle Goodwin, LMSW, AAPS
• Heidi Goolsby, AAPS
• Saritha Gorantla, M.D.
• Suman Gorantla, DMD
• Jeffrey David Gorcos, MD
• Jane Gordon, CPTA
• Jonathan Adam Gordon

• Rheumatology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Rheumatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.