Vijaya Bhaskar Gandla, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

2008-00921 Issued in NC

Practice address

601 N Elm St
High Point, NC 27262-4331

Phone

(336) 878-6419

Fax

(336) 878-6420

NPI assigned

Jun 25, 2006

Last updated

Aug 31, 2021By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in NC, IL2 enrollments

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 2

Specialty

Hospitalist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waukegan Clinic CorpGroup PAC ID 4284631086, 60 clinicians

Vital Health Partners LLCGroup PAC ID 5092205732, 74 clinicians

American Healthcare Systems LLCGroup PAC ID 7719383538, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Healthcare of Texas Hospice, Fort Worth, TX, CCN 451501
• Randolph Hospital Hospital, Asheboro, NC, CCN 340123
• Vista Medical Center East Hospital, Waukegan, IL, CCN 140084
• Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

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.

• American Healthcare Systems, LLC

  • Otolaryngology Physician
  • Asheboro, NC
  • NPI 1194310235
  Medicare reassignment Care Compare group NPD
• Vital Health Partners LLC

  • Hospitalist Physician
  • Miami Lakes, FL
  • NPI 1043101207

  IL, NC

  Medicare reassignment Care Compare group NPD
• Waukegan Clinic Corp

  • Family Medicine Physician
  • Waukegan, IL
  • NPI 1306937289

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  Medicare reassignment NPD
• American Healthcare Systems, LLC

  dba Randolph Health Cardiology

  • Cardiovascular Disease Physician
  • Asheboro, NC
  • NPI 1346078425
  NPD
• American Healthcare Systems, LLC

  • Hospitalist Physician
  • Asheboro, NC
  • NPI 1932789641
  NPD
• Oncology Hematology Associates of Northern Illinois, LTD

  • Hematology & Oncology Physician
  • Gurnee, IL
  • NPI 1093142135
  NPD
• Cogent Healthcare of North Carolina, PC

  • Internal Medicine Physician
  • Rocky Mount, NC
  • NPI 1548207483
  NPD (past)
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1194765438
  NPD (past)
• Medical Care of Boston Management Corporation

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1437196359
  NPD (past)

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

• American Healthcare Systems, LLC

  • General Acute Care Hospital
  • Asheboro, NC
  • NPI 1942895081
  Care Compare affiliation
• The Moses H. Cone Memorial Hospital Operating Corporation

  • General Acute Care Hospital
  • Greensboro, NC
  • NPI 1477591055
  Care Compare affiliation
• Community Healthcare of Texas

  dba Community Hospice of Texas

  • Community Based Hospice Care Agency
  • Fort Worth, TX
  • NPI 1275537219
  Care Compare affiliation
• Waukegan Illinois Hospital Company LLC

  dba Vista Medical Center East

  • General Acute Care Hospital
  • Waukegan, IL
  • NPI 1639120694
  Care Compare affiliation

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1821024100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-713-5215",
            "fax_number": "336-716-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624331",
            "telephone_number": "336-878-6419",
            "fax_number": "336-878-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDLA",
        "first_name": "VIJAYA",
        "middle_name": "BHASKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-00921",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2008-00921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910711",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "149YG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Galasso, MSW, LCASA
• Anne Gallagher
• Warren G. Gallemore, MD
• Emalie Galloway
• Santoshkumar D Gandhi, RPT
• Angela Marie Garcia-Grider, PA
• Brandon Ray Garcia, MD
• Deidre D Garland, PT
• Joseph K Garretson, DDS
• Anna Dixon Garrett

• Hospitalist Physician in High Point, NC
• Providers in High Point, NC by specialty
• Hospitalist Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.