Active NPI
Chandra Venugopal, M.D.
- Cardiovascular Disease Physician
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME0038526
- Practice address
- 3347 State Road 7
Suite 203
Wellington, FL 33449-8095 - Phone
- (561) 793-6100
- Fax
- (561) 793-1974
- NPI assigned
- Jul 27, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME0038526 | FL | Primary |
Addresses
Primary practice location
3347 State Road 7
Suite 203
Wellington, FL 33449-8095
Mailing address
3347 State Road
Ste 203
Wellington, FL 33449-8095
Phone (561) 793-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066569000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 S Main St
Suite 100a
Belle Glade, FL 33430-7808
Phone (561) 996-8799
3345 Burns Rd
Palm Beach Gardens, FL 33410-4304
Phone (561) 626-1881
3345 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4306
Phone (561) 626-1881
3347 S State Rd
7 Suite 203
Wellington, FL 33449-8148
Phone (561) 793-6100
406 S Deane Duff Ave
Clewiston, FL 33440-3818
Phone (561) 996-8799
4915 S Congress Ave
Suite B and C
Lake Worth, FL 33461-4734
Phone (561) 967-1046
Hospital & facility affiliations
- Hendry Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0038526 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendry County Hospital Authority | Current | Accepting new patients | |
| Hendry County Hospital Authority | Current | Accepting new patients | |
| Cardiology Partners PL | Cardiovascular Disease | Current | Accepting new patients |
| Hendry County Hospital Authority | Current | Accepting new patients | |
| Palms West Imaging Inc | Past | Accepting new patients | |
| Surgicath LLC | Past | Accepting new patients |
Locations
1200 S Main St
Ste 100A
Belle Glade, FL 33430
Phone (561) 996-8799
524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984
532 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3021
500 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3032
3345 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 622-4900
4915 S Congress Ave
Ste B
Palm Springs, FL 33461
Phone (561) 619-2346
3347 S State Road 7
Ste 203
Wellington, FL 33449
Phone (561) 793-1974
Networks
- FL HMO
- Freedom Health HMO Network
- FL PPO
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JADFAD
- lmccvenug@yourcarecommunity.org
- https://fhir4.healow.com/fhir/r4/DCBBAA/Endpoint/DCBBAA
- chandra.venugopal@cppl.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Wellington, FL
- NPI 1518978626
-
- Specialist
- Clewiston, FL
- NPI 1356360424
-
- Community/Retail Pharmacy
- Clewiston, FL
- NPI 1336937408
-
- Medical Specialty Clinic/Center
- Clewiston, FL
- NPI 1699915413
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Royal Palm Beach, FL
- NPI 1700877602
-
- Ambulatory Surgical Clinic/Center
- Palm Beach Gardens, FL
- NPI 1013360320
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clewiston, FL
- NPI 1215960315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1013917541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3347 STATE ROAD",
"address_2": "STE 203",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498095",
"telephone_number": "561-793-6100",
"fax_number": "561-793-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3347 STATE ROAD 7",
"address_2": "SUITE 203",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498095",
"telephone_number": "561-793-6100",
"fax_number": "561-793-1974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENUGOPAL",
"first_name": "CHANDRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME0038526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066569000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.