Individual provider Active NPI

Swaroop Pendyala, M.D.,

  • Gastroenterology Physician
  • Carson City, NV
National Provider Identifier
1114235124
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14292 Issued in NV
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

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220002438 GA Practitioner - Internal MedicinePractitioner - Gastroenterology 4789832213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialist of GeorgiaGroup PAC ID 9335032820, 35 clinicians

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 Hospital, Marietta, GA, CCN 110035
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Upper gastrointestinal (GI) endoscopy for acid reflux109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14292NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialist of Georgia Gastroenterology CurrentSince Oct 22, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.