Venkata Rao Emandi, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

ME0040043 Issued in FL

Practice address

14535 Cortez Blvd
Brooksville, FL 34613

Phone

(352) 596-3622

Fax

(352) 596-0901

NPI assigned

Aug 22, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Boston Regenerative Medicine LLC

  • Radiation Oncology Physician
  • Longwood, FL
  • NPI 1487520136
  Medicare reassignment NPD Authorized official
• V. Rao Emandi MD PA

  • Specialist
  • Hudson, FL
  • NPI 1013103084
  NPD (past) Authorized official
• West Hernando Diagnostic & Mr Center

  • Diagnostic Radiology Physician
  • Spring Hill, FL
  • NPI 1194955294
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1083606453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 SPRING HILL DR STE 101",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098102",
            "telephone_number": "352-799-0046",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-596-3622",
            "fax_number": "352-596-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13904 Lakeshore Blvd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346671772",
            "country_code": "US",
            "telephone_number": "352-597-4998",
            "fax_number": "352-596-6051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMANDI",
        "first_name": "VENKATA",
        "middle_name": "RAO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME0040043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08116",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372038100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Youssef Alaa Elbanna, DO
• Elevated Estates of Brooksville LLC
• Matthew Eliassen, MD
• Elite Womens Care
• Jeanne Louise Ellis, RN
• Encompass Health Rehabilitation Hospital of Spring Hill, Inc.
• Evelyn Mondares Erana, PHYSICAL THERAPIST
• Erin Abbott Street Mateer MD PLLC
• Hannah Sam Ersoff, AU.D.
• Harvey N Esrov, MD

• Radiation Oncology Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.