Individual provider Active NPI

Vijay Rayalu Gorrepati, M.D.

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1437413937
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R5122 Issued in TX
Practice address
5015 S Ih 35 Frontage
200
Austin, TX 78744
Phone
(512) 472-4357
NPI assigned
Jun 28, 2012
Last updated
Nov 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 125-061935 IL
Psychiatry Physician 2084P0800X 036139974 IL
Psychiatry Physician 2084P0800X R5122 TX Primary

Addresses

Primary practice location

5015 S Ih 35 Frontage
200
Austin, TX 78744

Mailing address

1430 Collier St
Austin, TX 78704-2911
Phone (512) 472-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171227000301 TX Practitioner - Psychiatry 8123321940 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas a & M University System, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The University of Texas at AustinGroup PAC ID 2668559436, 154 clinicians

Practice addresses (Care Compare)

1601 Trinity St
Austin, TX 78712-1765
Phone (833) 882-2737

5015 S Ih
Suite 35
Austin, TX 78744-2701
Phone (512) 472-4357

Merit-based Incentive Payment System (MIPS)

Final score
79.35 of 100Reported as group
Quality
76.32
Improvement activities
40
Cost
74.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-061935ILMDPsychiatry Physician
R5122TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Jan 2, 2018 Accepting new patients
University of Texas at Austin Dell Medical School Current Accepting new patients
The University of Texas at Austin CurrentSince Oct 1, 2022 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatry CurrentSince Jan 2, 2018 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Oct 1, 2022 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

5015 S Interstate 35
Austin, TX 78744
Phone (512) 703-1392

5015 S Interstate 35
Ste 200
Austin, TX 78744
Phone (512) 804-3200

6600 E Ben White Blvd
Austin, TX 78741
Phone (512) 804-3740

Interoperability endpoints

  • Direct secure messaging: vijay.gorrepati.1@16041.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1437413937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911",
            "telephone_number": "512-472-4357",
            "fax_number": "512-703-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 S IH 35 FRONTAGE",
            "address_2": "200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78744",
            "telephone_number": "512-472-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORREPATI",
        "first_name": "VIJAY",
        "middle_name": "RAYALU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125-061935",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036139974",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R5122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.