Venu M Kondle, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A73939 Issued in CA

Practice address

1525 Plumas CT
Ste C
Yuba City, CA 95991-2971

Phone

(530) 749-3653

Fax

(530) 749-3495

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Valley Nephrology IncGroup PAC ID 9537183462, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

Merit-based Incentive Payment System (MIPS)

Final score

91.08 of 100Reported as group

Quality

60.87

Promoting interoperability

100

Improvement activities

40

Cost

76.08

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Blossom Ridge Health, LLC

  • Home Health Agency
  • San Francisco, CA
  • NPI 1417441361

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Jasbir S Kang MD & Sanjiv Midha MD a Medical Corporation

  • Internal Medicine Physician
  • Marysville, CA
  • NPI 1730497421

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• North Valley Nephrology Inc

  • Nephrology Physician
  • Yuba City, CA
  • NPI 1861567380
  Medicare reassignment Care Compare group NPD Authorized official
• Blossom Ridge Medical, Inc.

  • Community Health Clinic/Center
  • Sacramento, CA
  • NPI 1679117972
  Medicare reassignment NPD
• Nivano Ambulatory Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Sacramento, CA
  • NPI 1497130660
  NPD (past) Authorized official
• Rideout Memorial Hospital

  • General Acute Care Hospital
  • Marysville, CA
  • NPI 1720088354
  NPD (past)
• Sutter North Medical Foundatoin

  • Durable Medical Equipment & Medical Supplies
  • Yuba City, CA
  • NPI 1851437388
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rideout Memorial Hospital

  • General Acute Care Hospital
  • Marysville, CA
  • NPI 1720088354
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1023025863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 PLUMAS CT",
            "address_2": "STE C",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912971",
            "telephone_number": "530-822-5575",
            "fax_number": "530-822-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 PLUMAS CT",
            "address_2": "STE C",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912971",
            "telephone_number": "530-749-3653",
            "fax_number": "530-749-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDLE",
        "first_name": "VENU",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A73939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A739390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "P00355059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Lynn Knight, LCSW
• James Knorr, M.D.
• Hoi Ming Ko
• Divya Lakshmi Kolli, PA-C
• Sabita Kondle, LMFT
• Novdip Kaur Korte, DC
• Hamid Reza Kourdoni, M.D.
• Dillon Michael Kozloski
• Destiney Kracher
• Alissa J. Kraisosky, MD

• Nephrology Physician in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.