NPIMap

Individual provider Active NPI

Seeteram Rao Gourkanti, MD

  • Internal Medicine Physician
  • Little Silver, NJ
National Provider Identifier
1881630028
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05530300 Issued in NJ
Practice address
31 Seven Bridges Rd
Little Silver, NJ 07739-1634
Phone
(732) 741-4668
Fax
(732) 219-1681
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05530300 NJ Primary

Addresses

Primary practice location

31 Seven Bridges Rd
Little Silver, NJ 07739-1634

Mailing address

31 Seven Bridges Rd
Little Silver, NJ 07739-1634
Phone (732) 741-4668

Other identifiers 1

IdentifierTypeStateIssuer
4620305MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050321000085 NJ Practitioner - Internal Medicine 9335194778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31 Seven Bridge Rd
Little Silver, NJ 07739-1634
Phone (732) 741-4668

Hospital & facility affiliations

  • Hackensack Meridian Hospice Hospice, Neptune, NJ, CCN 311533
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Laurel Bay Health & Rehabilitation Center Nursing home, Keansburg, NJ, CCN 315437

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05530300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
P.G. Medical Associates PA Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Laurel Bay Health and Rehabilitation Center Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

31 Seven Bridges Rd
Little Silver, NJ 07739
Phone (732) 741-4668

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGGFBA/Endpoint/DGGFBA

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 and National Provider Directory roles.

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1881630028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SEVEN BRIDGES RD",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391634",
            "telephone_number": "732-741-4668",
            "fax_number": "732-219-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SEVEN BRIDGES RD",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391634",
            "telephone_number": "732-741-4668",
            "fax_number": "732-219-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURKANTI",
        "first_name": "SEETERAM",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05530300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4620305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.