Juan Carlos Venis, MD, MPH, FAAFP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01076457A Issued in IN

Practice address

907 N East St
Indianapolis, IN 46202-3425

Phone

(317) 676-6498

Fax

(317) 932-9404

NPI assigned

Jun 6, 2014

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 24, 2025 through May 24, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jvenis42843@direct.eskenazihealth.edu
• Direct secure messaging: jvenis@direct.iuhealth.org

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1043623069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023425",
            "telephone_number": "317-676-6498",
            "fax_number": "317-932-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023425",
            "telephone_number": "317-676-6498",
            "fax_number": "317-932-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENIS",
        "first_name": "JUAN CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, FAAFP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01076457A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300004186",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juancarlos.venis@920118594830340.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "907 N East St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462023425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda A Venezia, O.D.
• Veni-Phleb Elite LLC
• Veni-Phleb Elite LLC
• Charlotte Venious, D.O.
• George John Venious, M.D.
• Ryan Venis, MD
• Melissa Venkateswaran
• Harini Venkatraman Ravisankar
• Ventalab LLC
• Shravanti Ventrapragada, M.D.

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.