NPIMap

Individual provider Active NPI

Anup Krishna Gangavalli, MD

  • Orthopaedic Surgery Physician
  • Richmond, VA
National Provider Identifier
1790049013
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101272652 Issued in VA
Practice address
5899 Bremo Road
Suite 100
Richmond, VA 23226
Phone
(804) 288-8512
NPI assigned
Jul 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MT202570 PA
Orthopaedic Surgery Physician 207X00000X ME136492 FL
Orthopaedic Surgery Physician 207X00000X 0101272652 VA Primary

Addresses

Primary practice location

5899 Bremo Road
Suite 100
Richmond, VA 23226

Mailing address

P. O. Box 715868
Philadelphia, PA 19171-4067
Phone (804) 215-3063

Other practice location 1

801 Ostrum St
Pphp2
Bethlehem, PA 18015-1000
Phone (484) 526-2369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210827000374 VA Practitioner - Orthopedic Surgery 3971874801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Stony Brook, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

5899 Bremo Rd
Suite 100
Richmond, VA 23226-1935
Phone (804) 288-8512

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion131
Laminectomy or laminotomy (partial removal of spine bones)38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136492FLMDOrthopaedic Surgery Physician
MT202570PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Oct 1, 2021 Accepting new patients
The Metrohealth System Current Accepting new patients
Orthovirginia Inc Orthopaedic Surgery Current Accepting new patients
Orthovirginia, Inc. Orthopaedic Surgery CurrentSince Oct 1, 2021 Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

7650 E Parham Rd
Ste 100
Richmond, VA 23294
Phone (804) 282-6338

5899 Bremo Rd
Ste 100
Richmond, VA 23226
Phone (804) 288-8512

Interoperability endpoints

  • Direct secure messaging: agangavalli137774@direct.metrohealth.org
  • Direct secure messaging: agangavalli30580@direct.orthovirginia.com

Organizations & group practices 4

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1790049013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191714067",
            "telephone_number": "804-215-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 BREMO ROAD",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-288-8512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_2": "PPHP2",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "484-526-2369",
            "fax_number": "484-526-1593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANGAVALLI",
        "first_name": "ANUP",
        "middle_name": "KRISHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT202570",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME136492",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101272652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.