Active NPI
Ramakrishna Sai Gorantla, MBBS, MD
- Interventional Cardiology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 36066
- Practice address
- 42ND and Emile
Omaha, NE 68198-1009 - Phone
- (402) 559-4000
- NPI assigned
- Jul 6, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CHI Health Clinic Specialty LLC
Practice addresses (Care Compare)
10 E 31St St
CHI Health Good Samaritan
Kearney, NE 68847-2908
Phone (308) 865-7100
Hospital & facility affiliations
- CHI Health Good Samaritan
- Lexington Regional Health Center
- Kearney County Health Services Hospital
- Cozad Community Hospital
- Brown County Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 14 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240124003387 | NE | Practitioner - Interventional Cardiology | 1153554514 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01086460A | IN | MD | Cardiovascular Disease Physician |
| 36066 | NE | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Current | Accepting new patients |
Locations
3219 Central Ave
Ste 201
Kearney, NE 68847
Phone (308) 865-7271
10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 36066 | NE | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 01086460A | IN |
Addresses
NPPES NPI RegistryPrimary practice location
42ND and Emile
Omaha, NE 68198-1009
Mailing address
42ND and Emile
Omaha, NE 68198-0001
Phone (402) 559-0995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2024.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1124383088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42ND AND EMILE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681980001",
"telephone_number": "402-559-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42ND AND EMILE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681981009",
"telephone_number": "402-559-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORANTLA",
"first_name": "RAMAKRISHNA",
"middle_name": "SAI",
"credential": "MBBS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-06",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NE",
"license": "36066",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01086460A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.