Vikram Gunnala, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H80041 Issued in MD

Practice address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Phone

(301) 790-8804

NPI assigned

Nov 15, 2006

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI, MD, DC3 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 3

Specialty

Internal MedicineAlso: Hospitalist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adfinitas Health at Umcap LLCGroup PAC ID 0840677738, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vgunnala801556@direct.umm.edu

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.

• Adfinitas Health at Umcap, LLC

  dba Adfinitas Health, LLC

  • Hospitalist Physician
  • Largo, MD
  • NPI 1205585940

  DC

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Maryland PC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1992945471

  DC, Internal Medicine

  Medicare reassignment NPD
• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  Medicare reassignment NPD
• Tidalhealth Peninsula Regional, Inc.

  • Family Medicine Physician
  • Salisbury, MD
  • NPI 1184832040

  Internal Medicine

  Medicare reassignment NPD
• Columbia St. Mary's Hospital Milwaukee, Inc

  dba Ascension Columbia St Mary's Hospital Milwaukee

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1023064482
  Medicare reassignment NPD
• Divine Savior Healthcare, Inc.

  dba Aspirus Divine Savior Hospital

  • General Acute Care Hospital
  • Portage, WI
  • NPI 1124083894
  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of Maryland, LLC

  • Internal Medicine Physician
  • Elkton, MD
  • NPI 1922598929

  DC

  Medicare reassignment
• Hospitalist Medicine Physicians of Maryland PC

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1366240111
  NPD
• Meritus Medical Center Inc

  dba Meritus Radiology

  • Diagnostic Radiology Physician
  • Hagerstown, MD
  • NPI 1184477911
  NPD
• Meritus Medical Center Inc

  dba Meritus Palliative Care

  • Nurse Practitioner
  • Hagerstown, MD
  • NPI 1205176393
  NPD
• Meritus Medical Center Inc

  dba Meritus EKG Lab

  • Cardiac Rehabilitation Clinic/Center
  • Hagerstown, MD
  • NPI 1245256213
  NPD
• Tidalhealth Peninsula Regional, Inc.

  dba TidalHealth Specialty Pharmacy

  • Community/Retail Pharmacy
  • Salisbury, MD
  • NPI 1871031559
  NPD

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

• Dimensions Health Corporation

  dba University of Maryland Bowie Health Center

  • General Acute Care Hospital
  • Upper Marlboro, MD
  • NPI 1720099286
  Care Compare affiliation

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1356414890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11116 MEDICAL CAMPUS RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11116 MEDICAL CAMPUS RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426710",
            "telephone_number": "301-790-8804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5666 East State Street",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611082472",
            "country_code": "US",
            "telephone_number": "602-741-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNNALA",
        "first_name": "VIKRAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H80041",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-111820",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02003411A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036111820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000612723",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200930590",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katlin Elizabeth Guerra
• Megan Guerra, PTA
• Hannah Guffey
• Kathryn Ann Guffin, RDH
• Fahad Gul, D.O.
• Naresh C Gupta, M.D.
• Rachel Lee Gurecki, MS,SLP,CCC
• Alondra Y Guzman
• Anthony Ha, LMSW
• Leslie Natalia Haardt, LCSW-C

• Internal Medicine Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.