Venkata Sai Gogineni, M.D.
Individual provider Active NPI Interventional Cardiology Physician · Canton, GA
NPI 1356728919 · NPPES record last updated May 17, 2024
Key facts
- NPI
- 1356728919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 99814 (GA)
- Practice address
- 470 Northside Cherokee Blvd Ste 480
Canton, GA 30115-8034 - Phone
- (404) 962-6000
- NPI assigned
- May 4, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northside Cardiovascular Professional Services, LLC
Practice addresses (Care Compare)
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000
Hospital & facility affiliations
- Northside Hospital Cherokee
- Northside Hospital Forsyth
- Piedmont Mountainside Hospital Inc
- Northside Hospital Gwinnett
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.82 of 100
- Quality
- 67.82
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 77.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 74 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240729001041 | GA | Practitioner - Interventional Cardiology | 9931402518 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME141103 | FL | MD | Internal Medicine Physician |
| 99814 | GA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Cardiovascular Professional Services, LLC | Current |
Accepting new patients | |
| Northside Hospital, Inc. | Past | Accepting new patients |
Locations (25 of 30)
3400 Old Milton Pkwy
Ste C360
Alpharetta, GA 30005
Phone (770) 442-1200
875 Mayfield Rd
Ste 200
Alpharetta, GA 30009
3400 Old Milton Pkwy
Ste 100
Alpharetta, GA 30005
3400 Old Milton Pkwy
Ste C500
Alpharetta, GA 30005
Phone (678) 775-2284
3280 Peachtree Rd NE
Ste 150
Atlanta, GA 30305
1110 W Peachtree St NW
Ste 940
Atlanta, GA 30309
Phone (770) 292-3490
1110 W Peachtree St NW
Ste 920
Atlanta, GA 30309
1255 Friendship Rd
Ste 240
Braselton, GA 30517
2800 Buford Dr
Ste 410
Buford, GA 30519
Phone (404) 847-4280
2800 Buford Dr
Ste 220
Buford, GA 30519
450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000
470 Northside Cherokee Blvd
Ste 480
Canton, GA 30115
2000 Howard Farm Dr
Ste 450
Cumming, GA 30041
Phone (901) 489-4991
1505 Northside Blvd
Ste 3600
Cumming, GA 30041
Phone (470) 639-6272
2000 Howard Farm Dr
Ste 200
Cumming, GA 30041
Phone (770) 667-4337
134 Ansley Dr
Ste 500
Dahlonega, GA 30533
Phone (678) 601-6030
81 Northside Dawson Dr
Ste 305
Dawsonville, GA 30534
Phone (678) 456-4947
2545 Lawrenceville Hwy
Ste 200
Decatur, GA 30033
Phone (770) 934-7876
3855 Pleasant Hill Rd
Ste 270
Duluth, GA 30096
Phone (678) 257-7078
1276 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (706) 543-3200
2200 Medical Center Blvd
Ste 200
Lawrenceville, GA 30046
1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565
5670 Peachtree Dunwoody Rd
Ste 880
Sandy Springs, GA 30342
6135 Barfield Rd
Ste 200
Sandy Springs, GA 30328
Phone (404) 256-8500
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 99814 | GA | Yes |
| Internal Medicine Physician | 207R00000X | ME141103 | FL |
Addresses
Primary practice location
470 Northside Cherokee Blvd Ste 480
Canton, GA 30115-8034
Mailing address
470 Northside Cherokee Blvd Ste 480
Canton, GA 30115-8034
Phone (404) 962-6000
Other providers in Canton, GA
- Michelle A Glasgow
- Amanda Glass
- Alexandra Gleason
- Caroline Glen
- Mark J Goch
- Benjamin Steven Goins
- Runa Hatti Gokhale
- Misty Lenore Golden
- Rahul Goli
- Courtney B Gonzales
All providers in Canton, GA · Interventional Cardiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.