Individual provider Active NPI

Boothapuri Venkatesh, MD

  • Cardiovascular Disease Physician
  • Cedar Rapids, IA
National Provider Identifier
1023093259
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34555 Issued in IA
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

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1023093259MedicaidIA
P00817974OtherIARR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000168 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143279281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Methodist HospitalGroup PAC ID 6608786751, 82 clinicians

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 Hospital, Cedar Rapids, IA, CCN 160045
  • Regional Medical Center Hospital, Manchester, IA, CCN 161343
  • Buchanan County Health Center Hospital, Independence, IA, CCN 161335
  • Jones Regional Medical Center Hospital, Anamosa, IA, CCN 161306
  • Virginia Gay Hospital Hospital, Vinton, IA, CCN 161349

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
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

LicenseStateTypeSpecialty
34555IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital CurrentSince Nov 17, 2008 Accepting new patients
St. Luke'S Methodist Hospital Cardiovascular Disease CurrentSince Nov 17, 2008 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.