Purnima Venkatesh, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

K9446 Issued in TX

Practice address

2305 Central Park Blvd
Bedford, TX 76022-6111

Phone

(817) 571-6622

Fax

(817) 868-1962

NPI assigned

Apr 27, 2006

Sex

Female

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 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

Specialty

Allergy/Immunology

Education

Louisiana State University School of Medicine in Shreveport, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Purnima Venkatesh, M.D., P.a.Group PAC ID 0345331005, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Purnima Venkatesh, M.D., P.a.

  • Allergy & Immunology Physician
  • Bedford, TX
  • NPI 1215076492
  Medicare reassignment Care Compare group NPD Authorized official
• Kma Radiology, PA

  • Body Imaging Physician
  • Dallas, TX
  • NPI 1831201888
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083671796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 CENTRAL PARK BLVD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226111",
            "telephone_number": "817-571-6622",
            "fax_number": "817-868-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 CENTRAL PARK BLVD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226111",
            "telephone_number": "817-571-6622",
            "fax_number": "817-868-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESH",
        "first_name": "PURNIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "K9446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "82392S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7010260",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Vasquez, D.C.
• Sarah Vaughan
• Veerabhadra PLLC
• Velara Therapy, PLLC
• Venkatesan D. Vidi, MD PLLC
• Rayne Ventimiglia, LCSW
• Celine Verdier, LPC
• Shawn Vest
• Venkatesan Dyanesh Vidi, M.D., M.P.H.
• Kelli Vieger, AU.D.

• Allergy & Immunology Physician in Bedford, TX
• Providers in Bedford, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.