NPIMap

Individual provider Active NPI

Goutham Vemana, MD

  • Urology Physician
  • Pittsburgh, PA
National Provider Identifier
1245429075
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD461870 Issued in PA
Practice address
1307 Federal St Ste 300
Pittsburgh, PA 15212-4769
Phone
(412) 281-1757
Fax
(412) 281-7274
NPI assigned
Oct 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD461870 PA Primary

Addresses

Primary practice location

1307 Federal St Ste 300
Pittsburgh, PA 15212-4769

Mailing address

1307 Federal St Ste 300
Pittsburgh, PA 15212-4769
Phone (412) 281-1757

Other identifiers 2

IdentifierTypeStateIssuer
103330577MedicaidPA
13545168OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gvemana138850@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911001985 PA Practitioner - Urology 6709042120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Cincinnati College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

1307 Federal St
Pittsburgh, PA 15212-4769

2801 Freeport Rd
Natrona Heights, PA 15065-1968
Phone (412) 281-1757

320 E N Ave
Pittsburgh, PA 15212-4756

4141 Washington Rd
Triangle Urological Group
MC Murray, PA 15317-2522
Phone (724) 884-0895

4800 Friendship Ave
Pittsburgh, PA 15224-1722

4815 Liberty Ave
Pittsburgh, PA 15224-2156

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD461780PAMDEmergency Medicine Physician
MD461870PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Mar 1, 2019 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2017 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2017 Accepting new patients
Memorial Hermann Medical Group Urology PastSince Aug 18, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

311 W 24th St
Ste 101
Erie, PA 16502
Phone (814) 333-9200

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4141 Washington Rd
McMurray, PA 15317
Phone (724) 884-0895

1307 Federal St
Ste 300
Pittsburgh, PA 15212
Phone (412) 281-1757

4815 Liberty Ave
Ste M58
Pittsburgh, PA 15224
Phone (412) 246-2452

1307 Federal St
Pittsburgh, PA 15212
Phone (412) 359-3360

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245429075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "412-281-1757",
            "fax_number": "412-281-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "412-281-1757",
            "fax_number": "412-281-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEMANA",
        "first_name": "GOUTHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD461870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103330577",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13545168",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gvemana138850@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1307 Federal St Ste 300",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.