Active NPI
Boothapuri Venkatesh, MD
- Cardiovascular Disease Physician
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 34555
- Practice address
- 202 10TH St SE
Suite 225
Cedar Rapids, IA 52403-2404 - Phone
- (319) 364-7101
- Fax
- (319) 363-1993
- NPI assigned
- Dec 9, 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 | 34555 | IA | Primary |
Addresses
Primary practice location
202 10TH St SE
Suite 225
Cedar Rapids, IA 52403-2404
Mailing address
202 10TH St SE
Suite 225
Cedar Rapids, IA 52403-2404
Phone (319) 364-7101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023093259 | Medicaid | IA | |
| P00817974 | Other | IA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 10TH St SE
Suite 225
Cedar Rapids, IA 52403-2419
Phone (319) 368-5757
Hospital & facility affiliations
- St Lukes Hospital
- Regional Medical Center
- Buchanan County Health Center
- Jones Regional Medical Center
- Virginia Gay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.76 of 100
- Quality
- 75.82
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34555 | IA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| St. Luke'S Methodist Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Trinity Regional Medical Center | Past | Accepting new patients | |
| Cardiologists LC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161
105 9th Ave
Belle Plaine, IA 52208
Phone (319) 444-2840
1026 A Ave NE
Ste 5000
Cedar Rapids, IA 52402
Phone (319) 368-5757
1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970
202 10th St SE
Ste 225
Cedar Rapids, IA 52403
Phone (319) 364-7101
1600 1st St E
Independence, IA 50644
Phone (319) 332-0999
709 W Main St
Manchester, IA 52057
Phone (563) 927-3232
709 W Main St
Ste 100
Manchester, IA 52057
Phone (563) 927-2855
300 W May St
Marengo, IA 52301
Phone (319) 462-8011
740 E Oak St
Monticello, IA 52310
Phone (319) 364-7101
200 Virgil Ave SE
Mount Vernon, IA 52314
Phone (319) 378-8280
1412 Cedar St
Tipton, IA 52772
Phone (563) 886-2182
502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200
1803 C Ave
Vinton, IA 52349
Phone (319) 472-2304
Interoperability endpoints
- bvenkatesh41640@direct.unitypoint.org
Organizations & group practices 4
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
- Cedar Rapids, IA
- NPI 1073553939
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Cardiovascular Disease Physician
- Cedar Rapids, IA
- NPI 1063748002
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Manchester, IA
- NPI 1750354676
-
- Critical Access Hospital
- Independence, IA
- NPI 1265595144
-
- Critical Access Hospital
- Anamosa, IA
- NPI 1164514741
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Vinton, IA
- NPI 1164486726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1023093259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 10TH ST SE",
"address_2": "SUITE 225",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032404",
"telephone_number": "319-364-7101",
"fax_number": "319-363-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 10TH ST SE",
"address_2": "SUITE 225",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032404",
"telephone_number": "319-364-7101",
"fax_number": "319-363-1993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENKATESH",
"first_name": "BOOTHAPURI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "34555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023093259",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00817974",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.