Vikranth Reddy Gongidi (NPI# 1609098581, PAC ID# 1850578733) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1609098581 |
| PAC ID by PECOS | 1850578733 |
| Professional Enrollment ID | I20120717000217 |
| Full Name | Vikranth Reddy Gongidi |
| Organization Legal Name | INDIAN RIVER HEALTH SVCS INC |
| Address |
801 Wellness Way Sebastian FL 32958-3783 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | NUCLEAR MEDICINE |
| Group Practice PAC ID | 9234130329 |
| Number of Group Practice Members | 122 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100105 | INDIAN RIVER MEMORIAL HOSPITAL INC |
| 100217 | STEWARD SEBASTIAN RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 801 Wellness Way, Sebastian, FL 32958-3783 | INDIAN RIVER HEALTH SVCS INC | |
| 1000 36th St, Vero Beach, FL 32960-4862 | 7725674311 | INDIAN RIVER HEALTH SVCS INC |
| 3450 11th Ct, Vero Beach, FL 32960-5012 | INDIAN RIVER HEALTH SVCS INC |
| Organization Legal Name | INDIAN RIVER HEALTH SVCS INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Jye Chou | Psychiatry | Indian River Health Svcs Inc | 1190 37th St, Vero Beach, FL 32960-6507 |
| Jessica J Miller | Nurse Practitioner | Indian River Health Svcs Inc | 3450 11th Ct, Suite 305a, Vero Beach, FL 32960-5012 |
| Felice E Haake | Family Practice | Indian River Health Svcs Inc | 1155 35th Ln, Suite 201, Vero Beach, FL 32960-6537 |
| Annetta Alexander | General Practice | Indian River Health Svcs Inc | 1000 36th St, Vero Beach, FL 32960-4862 |
| Gerri A Kroop | Nurse Practitioner | Indian River Health Svcs Inc | 1000 36th St, Vero Beach, FL 32960-4862 |
| Charles A Bongiorno | Psychiatry | Indian River Health Svcs Inc | 1190 37th St, Vero Beach, FL 32960-6507 |
| Katherine E Gaudet | Nurse Practitioner | Indian River Health Svcs Inc | 801 Wellness Way, Suite 109, Sebastian, FL 32958-3783 |
| Susan H Crabtree | Nurse Practitioner | Indian River Health Svcs Inc | 1000 36th St, Vero Beach, FL 32960-4862 |
| Alan M Rosenbaum | Cardiovascular Disease (cardiology) | Indian River Health Svcs Inc | 801 Wellness Way, Sebastian, FL 32958-3783 |
| Sydney L Banack | Nurse Practitioner | Indian River Health Svcs Inc | 1000 36th St, Vero Beach, FL 32960-4862 |
| Street Address |
801 WELLNESS WAY |
| City | SEBASTIAN |
| State | FL |
| Zip | 32958-3783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy H Hickman Jr. | Orthopedic Surgery | Vero Orthopaedics II Pa | 801 Wellness Way, Suite 100, Sebastian, FL 32958-3783 |
| Morgan P Courty | Family Medicine | Indian River Health Services Inc | 801 Wellness Way, Suite 200, Sebastian, FL 32958-3783 |
| Erin Forest | Orthopedic Surgery | Vero Orthopaedics II Pa | 801 Wellness Way, Suite 100, Sebastian, FL 32958-3783 |
| Kent Smillie | Orthopedic Surgery | Vero Orthopaedics II Pa | 801 Wellness Way, Suite 100, Sebastian, FL 32958-3783 |
| Jason Travis Stack | Orthopedic Surgery | Vero Orthopaedics II Pa | 801 Wellness Way, Suite 100, Sebastian, FL 32958-3783 |
| Seth D Coren | Orthopedic Surgery | Vero Orthopaedics II Pa | 801 Wellness Way, Suite 100, Sebastian, FL 32958-3783 |
| Mary E Quillinan | Internal Medicine | Indian River Health Services Inc | 801 Wellness Way, Sebastian, FL 32958-3783 |
| John P Peden | Orthopedic Surgery | Vero Orthopaedics II Pa | 801 Wellness Way, Suite 100, Sebastian, FL 32958-3783 |
| Desmond Fonji | General Practice | Indian River Health Services Inc | 801 Wellness Way, Suite 200, Sebastian, FL 32958-3783 |
| Craig A Popp | Orthopedic Surgery | Vero Orthopaedics II Pa | 801 Wellness Way, Suite 100, Sebastian, FL 32958-3783 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Prudenti | Clinical Social Worker | 1515 Us Hwy 1, Suite 201, Sebastian, FL 32958 | |
| Andrew Dobo | Psychologist, Clinical | 1515 Us One Hwy 201, Sebastian, FL 32958 | |
| Michael A Mazziotta Ii | Podiatry | Indian River Podiatry P.a. | 1515 Us Hwy 1, Suite 204, Sebastian, FL 32958-1612 |
| Nicholas W Rutledge | Podiatry | Indian River Podiatry P.a. | 1515 Us Hwy 1, Suite 204, Sebastian, FL 32958-1612 |
| Richard M Greene | Psychologist, Clinical | 1515 Us Hwy 1, Suite 201, Sebastian, FL 32958-1612 | |
| Connie R Lawrence-willis | Optometry | 2001 Us Hwy 1, Sebastian, FL 32958-1615 | |
| David J Haile | Podiatry | Podiatry Associates of Indian River County, LLC | 1424 Us Hwy 1 A, Sebastian, FL 32958-1619 |
| Romain Onteniente | Podiatry | Podiatry Associates of Indian River County, LLC | 1424 Us Hwy 1 A, Sebastian, FL 32958-1619 |
| Sharon Paxton | Clinical Social Worker | 735 A Commerce Ctr Dr, Sebastisan, FL 32958-3136 | |
| Dwayne D Montie | Dermatology | Waters Edge Dermatology LLC | 7765 144th St, Unit 1, Sebastian, FL 32958-3206 |
| Find all physicians in zip 32958 | |||
| City | SEBASTIAN |
| Zip Code | 32958 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SEBASTIAN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Vikranth Reddy Gongidi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.