Individual provider Active NPI

Vijay Bhaskar Reddy Gayam, M.D.

  • Gastroenterology Physician
  • Rogers, AR
National Provider Identifier
1316296668
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E-19843 Issued in AR
Practice address
2708 S Rife Medical LN Ste 300
Rogers, AR 72758-1457
Phone
(479) 338-3030
Fax
(479) 338-3079
NPI assigned
Aug 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X U9254 TX
Gastroenterology Physician 207RG0100X E-19843 AR Primary
Internal Medicine Physician 207R00000X 281594 NY

Addresses

Primary practice location

2708 S Rife Medical LN Ste 300
Rogers, AR 72758-1457

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (479) 338-3030

Other practice location 1

1545, Atlantic Avenue
Brooklyn, NY 11213
Phone (718) 613-4000

Other practice location 2

6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 633-5555

Other practice location 3

701 E Marshall Ave Ste 200
Longview, TX 75601-5544
Phone (903) 236-2222

Other practice location 4

1449 E Bert Koun Loop Ste 101
Shreveport, LA 71105-5663
Phone (318) 681-4282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, LA, AR, OH, GA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20160927000016 NY Practitioner - Internal Medicine 3779870308 Reassigns benefits to 2 organizations
I20240807002708 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 3779870308 Reassigns benefits to 3 organizations
I20250728003901 LA Practitioner - Gastroenterology 3779870308 Reassigns benefits to 1 organization
I20250918002304 AR Practitioner - Internal Medicine 3779870308 Reassigns benefits to 2 organizations
I20260304001967 OH Practitioner - Gastroenterology 3779870308 Reassigns benefits to 1 organization
I20260619000611 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 3779870308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, shared by 5 NPIs, 314 clinicians
Piedmont Specialty Hospital Billing LLCGroup PAC ID 4183986490, 252 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 384-5050

1449 E Bert Koun Loop
Shreveport, LA 71105-5663
Phone (318) 681-4282

1449 E Bert Kouns Industrial Loop
Suite 101
Shreveport, LA 71105-5663
Phone (318) 681-4282

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138

2708 S Rife Medical LN
Suite 300
Rogers, AR 72758-1457
Phone (479) 338-3030

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26
Upper gastrointestinal (GI) endoscopy for acid reflux83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U9254TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Dec 4, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 5, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince May 26, 2024 Accepting new patients
Partners Physician Group Internal Medicine CurrentSince Feb 6, 2026 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 4, 2024 Accepting new patients
McAllen Hospitalist Group, PLLC Internal Medicine CurrentSince Aug 7, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 1, 2025 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince May 26, 2024 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 1, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Partners Physician Group CurrentSince Feb 6, 2026 Accepting new patients
Interfaith Professional Physician Services, P.C. Internal Medicine CurrentSince Jul 2, 2016 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 1, 2020 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2708 S Rife Medical Ln
Ste 300
Rogers, AR 72758
Phone (479) 338-3030

1449 E Bert Kouns Industrial Loop
Ste 101
Shreveport, LA 71105
Phone (318) 681-4282

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

50 Water St
Fl 3
New York, NY 10004

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

701 E Marshall Ave
Ste 200
Longview, TX 75601
Phone (903) 236-2222

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: vreddy428436@christushealth.direct-ci.net
  • Direct secure messaging: vgayam18441@prd.direct.tbh.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1316296668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "479-338-3030",
            "fax_number": "479-338-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 300",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581457",
            "telephone_number": "479-338-3030",
            "fax_number": "479-338-3079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545, Atlantic Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11213",
            "country_code": "US",
            "telephone_number": "718-613-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752355202",
            "country_code": "US",
            "telephone_number": "214-633-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Marshall Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015544",
            "country_code": "US",
            "telephone_number": "903-236-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1449 E Bert Koun Loop Ste 101",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055663",
            "country_code": "US",
            "telephone_number": "318-681-4282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYAM",
        "first_name": "VIJAY BHASKAR",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "U9254",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E-19843",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "281594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.