Individual provider Active NPI

Venkata Subhash Gorrepati, M.D.

  • Gastroenterology Physician
  • Orange Park, FL
National Provider Identifier
1154633675
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME148057 Issued in FL
Practice address
1465 Kingsley Ave Ste 1101
Orange Park, FL 32073-4504
Phone
(904) 264-9797
Fax
(904) 264-4644
NPI assigned
Jul 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME148057 FL Primary

Addresses

Primary practice location

1465 Kingsley Ave Ste 1101
Orange Park, FL 32073-4504

Mailing address

PO Box 100214
Gainesville, FL 32610-0214
Phone (352) 273-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210623003736 FL Practitioner - Gastroenterology 7012144025 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borland Groover Clinic, PAGroup PAC ID 6507761301, 128 clinicians

Practice addresses (Care Compare)

1824 King St
Suite 300
Jacksonville, FL 32204-4736
Phone (386) 788-1242

4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 398-7205

805 Wells Rd
Orange Park, FL 32073-2301
Phone (904) 264-9797

836 Prudential Dr
Suite 801
Jacksonville, FL 32207-8335
Phone (904) 288-0433

Hospital & facility affiliations

  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321

Merit-based Incentive Payment System (MIPS)

Final score
78.94 of 100Reported as group
Quality
69.69
Promoting interoperability
89
Improvement activities
40
Cost
69.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy118
Upper gastrointestinal (GI) endoscopy for acid reflux361

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Gastroenterology CurrentSince Jun 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Internal Medicine Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2021 Accepting new patients
Borland Groover Clinic, PA Gastroenterology CurrentSince Jan 1, 2023 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

836 Prudential Dr
Ste 801
Jacksonville, FL 32207
Phone (904) 288-0433

4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084

1465 Kingsley Ave
Ste 1101
Orange Park, FL 32073
Phone (904) 264-9797

805 Wells Rd
Orange Park, FL 32073
Phone (904) 264-9797

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

23 Mack Bayou Loop
Santa Rosa Beach, FL 32459
Phone (850) 390-4540

Interoperability endpoints

  • Direct secure messaging: venkata.gorrepati.p1@direct.bgclinic.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1154633675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100214",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100214",
            "telephone_number": "352-273-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 KINGSLEY AVE STE 1101",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734504",
            "telephone_number": "904-264-9797",
            "fax_number": "904-264-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORREPATI",
        "first_name": "VENKATA SUBHASH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME148057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.