VENKATESAN R GORANTLA (M.D.) – Neonatal-Perinatal Medicine Physician, NPI 1659302891
Neonatal-Perinatal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for VENKATESAN R GORANTLA (M.D.)
Doctors Hospital of Augusta, 3651, Wheeler Road, Augusta, Richmond County, Georgia, 30909, United States
AUGUSTA, GA 309096521
Phone: (706) 229-6394
Type: Location
123, Gustav Court, North Augusta, Aiken County, South Carolina, 29860, United States
NORTH AUGUSTA, SC 298608206
Phone: (513) 310-2392
Type: Mailing
655 W 8TH ST FL CC6
JACKSONVILLE, FL 322096511
Phone: (513) 310-2392
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081215000635 | I | Pediatric Medicine | IN | TBD |
| I20121121000207 | I | Pediatric Medicine | GA | TBD |
| I20221228002239 | I | Pediatric Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30909)
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