Individual provider Active NPI

Venu Gopala Reddy Gangireddy, MD

  • Gastroenterology Physician
  • Statesville, NC
National Provider Identifier
1194037507
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2022-01096 Issued in NC
Practice address
555 Kitchings Dr
Statesville, NC 28677-3576
Phone
(704) 978-1144
Fax
(704) 978-1148
NPI assigned
Jul 14, 2010
Last updated
Jun 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 69811 GA
Gastroenterology Physician 207RG0100X 93990 SC
Gastroenterology Physician 207RG0100X 27062 WV
Gastroenterology Physician 207RG0100X 2022-01096 NC Primary

Addresses

Primary practice location

555 Kitchings Dr
Statesville, NC 28677-3576

Mailing address

PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277

Other practice location 1

3 Richland Medical Park Dr Ste 120
Columbia, SC 29203-6850
Phone (803) 434-8866

Other names 1

  • Dr. Venu Gopala Reddy G Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220712001196 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 2163660887 Reassigns benefits to 3 organizations
I20250410000015 SC Practitioner - Gastroenterology 2163660887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians
Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Practice addresses (Care Compare)

16455 Statesville Rd
Huntersville, NC 28078-7135
Phone (704) 801-2501

1771 Tate Blvd SE
Suite 101
Hickory, NC 28602-4250
Phone (828) 315-5110

555 Kitchings Dr
Statesville, NC 28677-3576
Phone (704) 978-1144

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy125
Upper gastrointestinal (GI) endoscopy for acid reflux140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69811GAMDInternal Medicine Physician
2022-01096NCMDGastroenterology Physician
93990SCMDGastroenterology Physician
27062WVMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2025 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine CurrentSince May 26, 2025 Accepting new patients
Atrium Health Specialty Network Inc Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Piedmont Healthcare, PA CurrentSince Jun 19, 2023 Accepting new patients
DLP Frye Medical Group, LLC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince May 26, 2025 Accepting new patients
Piedmont Healthcare, P.a. Internal Medicine CurrentSince Jun 19, 2023 Accepting new patients

Locations

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

1771 Tate Blvd SE
Ste 101
Hickory, NC 28602
Phone (828) 315-5110

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

555 Kitchings Dr
Statesville, NC 28677
Phone (704) 872-7294

650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

3 Richland Medical Park Dr
Ste 120
Columbia, SC 29203
Phone (803) 434-8866

Interoperability endpoints

  • Direct secure messaging: gvenugopalareddy845521@direct.ghs.myhfn.org
  • Direct secure messaging: venugopalareddygangireddy@phc.allscriptsdirect.net
  • Direct secure messaging: vgangireddy3017095@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1194037507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871845",
            "telephone_number": "704-873-4277",
            "fax_number": "704-978-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 KITCHINGS DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773576",
            "telephone_number": "704-978-1144",
            "fax_number": "704-978-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Richland Medical Park Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036850",
            "country_code": "US",
            "telephone_number": "803-434-8866",
            "fax_number": "803-933-3049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANGIREDDY",
        "first_name": "VENU GOPALA REDDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "69811",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "93990",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "27062",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2022-01096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENU GOPALA REDDY",
            "last_name": "G",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.