Active NPI
Daniel L Venarske, M.D
- Allergy & Immunology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 16963
- Practice address
- 1513 Lakeland Dr.
Suite 101
Jackson, MS 39216 - Phone
- (601) 354-4836
- Fax
- (601) 354-2619
- NPI assigned
- Dec 19, 2005
- Last updated
- Jan 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 16963 | MS | Primary |
Addresses
Primary practice location
1513 Lakeland Dr.
Suite 101
Jackson, MS 39216
Mailing address
1513 Lakeland Dr.,
Suite 101
Jackson, MS 39216
Phone (601) 354-4836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125626 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Baylor College of Medicine, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1513 Lakeland Dr
Suite 101
Jackson, MS 39216-4829
Phone (601) 354-4836
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.53 of 100
- Quality
- 61.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Asthma & Allergy Clinic PA | Allergy & Immunology | Current | Accepting new patients |
Locations
1513 Lakeland Dr
Ste 101
Jackson, MS 39216
Phone (601) 354-4836
3704 Highway 39 N
Meridian, MS 39301
Phone (601) 693-0216
680 Highway 51
Ste B
Ridgeland, MS 39157
Phone (601) 856-0805
680 Highway 51
Ste D
Ridgeland, MS 39157
Phone (601) 898-1877
Networks
- MS PPO
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- MS PPO C-SNP
- LA PPO C-SNP
- TN PPO C-SNP
- MS PPO D-SNP
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- TN PPO
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Jackson, MS
- NPI 1902882251
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1003892357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 LAKELAND DR.,",
"address_2": "SUITE 101",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-354-4836",
"fax_number": "601-354-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 LAKELAND DR.",
"address_2": "SUITE 101",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-354-4836",
"fax_number": "601-354-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENARSKE",
"first_name": "DANIEL",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MS",
"license": "16963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00125626",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.