Individual provider Active NPI

Vijaya Kumar Gogineni, MD

  • Pulmonary Disease Physician
  • Cedar Rapids, IA
National Provider Identifier
1821280207
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
40972 Issued in IA
Practice address
855 A Ave NE Ste 400
Cedar Rapids, IA 52402-5064
Phone
(319) 363-3565
Fax
(319) 363-4001
NPI assigned
Aug 9, 2007
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 40972 IA Primary

Addresses

Primary practice location

855 A Ave NE Ste 400
Cedar Rapids, IA 52402-5064

Mailing address

855 A Ave NE Ste 400
Cedar Rapids, IA 52402-5064
Phone (319) 363-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20130826000797 IA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7315180171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

1515 Delhi St
Suite 100
Dubuque, IA 52001-6320
Phone (563) 557-9111

1791 Hwy 64 E
Family Med Anamosa
Anamosa, IA 52205-2112
Phone (319) 462-3571

1795 Hwy 64 E
Anamosa, IA 52205-2112
Phone (319) 462-6131

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913

350 N Grandview Ave
Dubuque, IA 52001-6388
Phone (563) 557-2829

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

709 W Main St
Manchester, IA 52057-1526
Phone (563) 589-4835

855 A Ave NE
Cedar Rapids, IA 52402-5064

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grinnell Regional Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Allen Memorial Hospital Corporation Pulmonary Disease Current Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

1026 A Ave NE
Ste 5000
Cedar Rapids, IA 52402
Phone (319) 368-5757

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: vgogineni146823@direct.unitypoint.org

Organizations & group practices 3

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 5

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1821280207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE 400",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025064",
            "telephone_number": "319-363-3565",
            "fax_number": "319-363-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE 400",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025064",
            "telephone_number": "319-363-3565",
            "fax_number": "319-363-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGINENI",
        "first_name": "VIJAYA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IA",
            "license": "40972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.