Gopikrishnan Vasudevan, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

31491 Issued in NE

Practice address

816 22ND Ave
Suite 100
Kearney, NE 68845-2206

Phone

(308) 865-2263

Fax

(308) 865-2541

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Gastroenterology

Education

University of Kansas School of Med (KC/Wich/Sal), 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134
• CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
• Community Hospital Hospital, McCook, NE, CCN 281363

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gopikrishnan.vasudevan@direct.stjohnhealthsystem.com
• Direct secure messaging: gvasudevan175131@hisp.bryanhealth.org

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.

• Bryan Hospital Kearney

  • Family Medicine Physician
  • Kearney, NE
  • NPI 1033875380
  Medicare reassignment Care Compare group NPD
• Bryan Hospital Kearney

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1407513484
  NPD
• Platte Valley Medical Group, P.C.

  • Internal Medicine Physician
  • Kearney, NE
  • NPI 1144203324
  NPD (past)

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

• Bryan Hospital Kearney

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1407513484
  Care Compare affiliation
• Community Hospital Association

  • Critical Access Hospital
  • McCook, NE
  • NPI 1841204500
  Care Compare affiliation
• Good Samaritan Hospital

  • Psychiatric Hospital Unit
  • Kearney, NE
  • NPI 1114942869
  Care Compare affiliation
• Good Samaritan Hospital

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1336184019
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1760410823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 22ND AVE",
            "address_2": "SUITE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452206",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 22ND AVE",
            "address_2": "SUITE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452206",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASUDEVAN",
        "first_name": "GOPIKRISHNAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "31491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Vasquez
• Amanda Ranee Vasquez
• Aubrey Vasquez
• Christopher David Vasquez
• Zachry Tanner Vasquez
• Jerry A Vaughan, O.D.
• Jodie Lynne Veeder
• Allie Catherine-Ann Verzani
• Veteran Home Care LLC
• Jesica G. Vickers, LPC, LIMHP, PLADC

• Gastroenterology Physician in Kearney, NE
• Providers in Kearney, NE by specialty
• Gastroenterology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.