Individual provider Active NPI

Srinivasa Rao Venkatesh, M.D.

  • Specialist
  • Houston, TX
National Provider Identifier
1063463974
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G2876 Issued in TX
Practice address
10425 Huffmeister Rd Ste 340
Houston, TX 77065-3429
Phone
(281) 807-7676
Fax
(281) 807-6888
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G2876 TX Primary

Addresses

Primary practice location

10425 Huffmeister Rd Ste 340
Houston, TX 77065-3429

Mailing address

10425 Huffmeister Rd Ste 340
Houston, TX 77065-3429
Phone (281) 807-7676

Other identifiers 1

IdentifierTypeStateIssuer
037815002MedicaidTX

Other names 1

  • Srinivasa Rao Venkatesh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120906000684 TX Practitioner - Pulmonary Disease 7214943794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cyfair Pulmonary AssociatesGroup PAC ID 0345256822, 3 clinicians

Practice addresses (Care Compare)

10425 Huffmeister Rd
Suite 340
Houston, TX 77065-3707
Phone (281) 807-7676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cyfair Pulmonary Associates Specialist CurrentSince Aug 6, 2012 Accepting new patients

Locations

21216 Northwest Fwy
Ste 270
Cypress, TX 77429
Phone (281) 807-7676

10425 Huffmeister Rd
Ste 340
Houston, TX 77065
Phone (281) 807-7676

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIDFBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681603200000",
    "number": "1063463974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653429",
            "telephone_number": "281-807-7676",
            "fax_number": "281-807-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653429",
            "telephone_number": "281-807-7676",
            "fax_number": "281-807-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESH",
        "first_name": "SRINIVASA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G2876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037815002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRINIVASA",
            "last_name": "VENKATESH",
            "middle_name": "RAO",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.