Vikranth Reddy Gongidi, D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

OS11675 Issued in FL

Practice address

787 37TH St Ste 250
Vero Beach, FL 32960-7305

Phone

(772) 494-0794

Fax

(772) 494-0745

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Cardiovascular Disease (Cardiology)Also: Nuclear Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Cardiology of Vero BeachGroup PAC ID 8224482922, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indian River Home Care Inc Home health agency, Vero Beach, FL, CCN 103133
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Merit-based Incentive Payment System (MIPS)

Final score

79.11 of 100Reported as group

Quality

79.37

Improvement activities

40

Cost

57.88

Merit-based Incentive Payment System (MIPS)

Final score

54.86 of 100Reported as group

Quality

24.58

Promoting interoperability

100

Improvement activities

0

Cost

74.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DECCDD

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.

• Premier Cardiology of Vero Beach

  • Cardiovascular Disease Physician
  • Vero Beach, FL
  • NPI 1114701497

  FL, Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Cardiovascular Associates of the Delaware Valley,P a

  • Cardiovascular Disease Physician
  • Haddon Heights, NJ
  • NPI 1366495632

  Cardiovascular Disease

  NPD (past)

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

• Indian River Home Care, Inc.

  • Home Health Agency
  • Vero Beach, FL
  • NPI 1356634604
  Care Compare affiliation
• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1609098581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE 250",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "772-494-0794",
            "fax_number": "772-494-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE 250",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "772-494-0794",
            "fax_number": "772-494-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONGIDI",
        "first_name": "VIKRANTH",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016957",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MB08595000",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS11675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005437700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14L1Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard William Golden
• Goldstar Laboratories Florida
• Ashley Nichole Gollery, APRN, FNP-BC
• Alysha Gomes
• Ivette Gomez Saavedra, MD
• Alita Gonsalves Sikora, MD
• Toney Rudolfo Gonzales, PMHNP, FNP
• Ricardo Gonzalez Diaz, APRN
• Lazaro O Gonzalez Munoz, APRN, FNP-C
• Helen Gonzalez Perez

• All providers in Vero Beach, FL
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.