Individual provider Active NPI

Vivekananda Gonugunta, MD.,

  • Neurological Surgery Physician
  • Orlando, FL
National Provider Identifier
1336319623
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME157025 Issued in FL
Practice address
89 W Copeland Dr
Orlando, FL 32806-2002
Phone
(321) 841-7550
Fax
(321) 841-8185
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME157025 FL Primary
Neurological Surgery Physician 207T00000X 53324 WI

Addresses

Primary practice location

89 W Copeland Dr
Orlando, FL 32806-2002

Mailing address

89 W Copeland Dr
Orlando, FL 32806-2002
Phone (321) 841-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20090826000769 WI Practitioner - Neurosurgery 8527113513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

112 Ash St
Spooner, WI 54801-1487
Phone (715) 635-3979

1700 W Stout St
Rice Lake, WI 54868-5000
Phone (715) 236-6133

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

611 N Saint Joseph Ave
Marshfield, WI 54449-1832
Phone (715) 387-5511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion61
Laminectomy or laminotomy (partial removal of spine bones)23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53324WIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Oct 20, 2018 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 27, 2009 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Orlando Health Medical Group Inc Neurological Surgery CurrentSince Jun 15, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 15, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

89 W Copeland Dr
Orlando, FL 32806
Phone (407) 237-6333

1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179

2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1000 N Oak Ave
#4K3
Marshfield, WI 54449

9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/
  • Direct secure messaging: vgonugunta365617@orlandohealth.medalliesdirect.net
  • Direct secure messaging: vivekananda.gonugunta@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 9

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 5

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1336319623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 W COPELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062002",
            "telephone_number": "321-841-7550",
            "fax_number": "321-841-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 W COPELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062002",
            "telephone_number": "321-841-7550",
            "fax_number": "321-841-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONUGUNTA",
        "first_name": "VIVEKANANDA",
        "credential": "MD.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME157025",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "53324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.