Gopichand Pendurti, M.D

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

2016023070 Issued in MO

Practice address

902 N Riverside Rd
Ste 200
Saint Joseph, MO 64507-2518

Phone

(816) 271-1301

Fax

(816) 271-1302

NPI assigned

May 22, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Hematology/Oncology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Texas Oncology and Hematology, PLLCGroup PAC ID 4486618022, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospital Hospital, San Antonio, TX, CCN 450388
• Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score

82.7 of 100Reported as group

Quality

62.04

Promoting interoperability

90

Improvement activities

40

Cost

84.41

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• South Texas Oncology and Hematology, PLLC

  • Hematology & Oncology Physician
  • San Antonio, TX
  • NPI 1770664542
  Medicare reassignment Care Compare group NPD
• South Texas Oncology and Hematology, PLLC

  • Community/Retail Pharmacy
  • San Antonio, TX
  • NPI 1730422098
  NPD

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

• Methodist Healthcare System of San Antonio LTD LLP

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1659525236
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1124074273
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1689627655
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1952348021
  Care Compare affiliation
• VHS San Antonio Partners LLC

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1578798393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N RIVERSIDE RD",
            "address_2": "STE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072518",
            "telephone_number": "816-271-1301",
            "fax_number": "816-271-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N RIVERSIDE RD",
            "address_2": "STE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072518",
            "telephone_number": "816-271-1301",
            "fax_number": "816-271-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDURTI",
        "first_name": "GOPICHAND",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-22",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "279764",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2016023070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01795280",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578798393",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578798393",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201149740A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlynn Dlo Peck, LMSW
• Sarah Elizabeth Pedersen, PA
• Pediatric Urgent Care LLC
• Abigayle Marcene Peery, PT, DPT
• Melinda K Pemberton, FNP-BC
• Robyn A Penney, CCC-SLP
• Alyssa Dawne Pennock, BSN, RN, FNE
• Roberta J Peregrine
• Perfect Sense Eye Center St. Joe, LLC
• Performance Plus Medical Supplies LLC

• Hematology & Oncology Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Hematology & Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.