NPIMap

Individual provider Active NPI

Vijaya Kumar Gorantla, M.D

  • Nephrology Physician
  • Memphis, TN
National Provider Identifier
1679839666
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
59449 Issued in TN
Practice address
3950 New Covington Pike Ste 300
Memphis, TN 38128-2593
Phone
(901) 382-5256
Fax
(901) 382-3731
NPI assigned
Apr 4, 2012
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 59449 TN Primary

Addresses

Primary practice location

3950 New Covington Pike Ste 300
Memphis, TN 38128-2593

Mailing address

3950 New Covington Pike Ste 300
Memphis, TN 38128-2593
Phone (901) 382-5256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828003194 TN Practitioner - Internal MedicinePractitioner - Nephrology 7810225851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Consultants, P.C.Group PAC ID 2961577713, 10 clinicians

Practice addresses (Care Compare)

2743 Summer Oaks Dr
Bartlett, TN 38134-2858
Phone (901) 382-5256

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as individual
Quality
91.48
Improvement activities
40
Cost
69.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Consultants, P.C. CurrentSince Aug 1, 2019 Accepting new patients

Locations

2743 Summer Oaks Dr
Bartlett, TN 38134
Phone (901) 371-0200

3950 New Covington Pike
Ste 300
Memphis, TN 38128
Phone (901) 377-2111

Interoperability endpoints

  • Direct secure messaging: vijaya.gorantla@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1679839666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282593",
            "telephone_number": "901-382-5256",
            "fax_number": "901-382-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282593",
            "telephone_number": "901-382-5256",
            "fax_number": "901-382-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORANTLA",
        "first_name": "VIJAYA KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "59449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.