NPIMap

Organization Active NPI

Venice Gastroenterology PLLC

  • Specialist
  • Venice, FL
National Provider Identifier
1043475197
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0081475 Issued in FL
Legal business name
VENICE GASTROENTEROLOGY PLLC
Practice address
825 Venetian Pkwy
Venice, FL 34285-7163
Phone
(941) 484-3089
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Ravi Kondapalli, M.D.
Title
Owner
Phone
(941) 484-3089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0081475 FL Primary

Addresses

Primary practice location

825 Venetian Pkwy
Venice, FL 34285-7163

Mailing address

825 Venetian Pkwy
Venice, FL 34285-7163
Phone (941) 484-3089

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1043475197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 VENETIAN PKWY",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857163",
            "telephone_number": "941-484-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 VENETIAN PKWY",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857163",
            "telephone_number": "941-484-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENICE GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "KONDAPALLI",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-484-3089",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0081475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.