Active NPI
Swaroop Pendyala, M.D.,
- Gastroenterology Physician
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 14292
- Practice address
- 1385 Vista LN
Carson City, NV 89703-4643 - Phone
- (775) 884-4567
- NPI assigned
- Sep 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gastroenterology Physician | 207RG0100X | 14292 | NV | Primary |
Addresses
Primary practice location
1385 Vista LN
Carson City, NV 89703-4643
Mailing address
1385 Vista LN
Carson City, NV 89703-4643
Phone (775) 884-4567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
711 Canton Rd NE
Suite 300
Marietta, GA 30060-8949
Phone (678) 741-5000
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 55 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14292 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Specialist of Georgia | Gastroenterology | Current | Accepting new patients |
Locations
13 Reinhardt College Pkwy
#200
Canton, GA 30114
6002 Professional Pkwy
Ste 200
Douglasville, GA 30134
Phone (770) 942-0457
148 Bill Carruth Pkwy
Ste 200
Hiram, GA 30141
880 Crestmark Dr
Ste 102
Lithia Springs, GA 30122
Phone (678) 388-2040
1121 Johnson Ferry Rd
Ste 150
Marietta, GA 30068
Phone (770) 977-1510
2550 Windy Hill Rd SE
Ste 302
Marietta, GA 30067
Phone (678) 574-0943
2550 Windy Hill Rd SE
Ste 307
Marietta, GA 30067
Phone (770) 953-1414
711 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (678) 741-2317
1357 Hembree Rd
Ste 240
Roswell, GA 30076
Phone (404) 446-3600
118 Mill St
Ste 100
Woodstock, GA 30188
Phone (678) 741-2317
118 Mill St
Ste 110
Woodstock, GA 30188
Phone (678) 741-2317
Interoperability endpoints
- swaroop.pendyala@gsg.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Marietta, GA
- NPI 1801975339
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1114235124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 VISTA LN",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034643",
"telephone_number": "775-884-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 VISTA LN",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034643",
"telephone_number": "775-884-4567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDYALA",
"first_name": "SWAROOP",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-24",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NV",
"license": "14292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.