Venugopal Polasani, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Practice address

1400 W Park St
Urbana, IL 61801-2334

Phone

(217) 337-2000

NPI assigned

Nov 15, 2006

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anesthesia Care of Effingham, SC

  • Anesthesiology Physician
  • Effingham, IL
  • NPI 1528126372
  NPD (past)
• Central Illinois Associates LTD

  • Pain Medicine (Anesthesiology) Physician
  • Decatur, IL
  • NPI 1558425462
  NPD (past)
• Crawford Avenue Anesthesia Provider Services Urbana, LLC

  • Anesthesiology Physician
  • Urbana, IL
  • NPI 1134566615
  NPD (past)
• American Anesthesiology of Illinois, LLC

  • Anesthesiology Physician
  • Merrillville, IN
  • NPI 1326224270
  NPD (past)
• Premier Anesthesia of Urbana

  dba Premier Anesthesia of Illinois

  • Anesthesiology Physician
  • Alpharetta, GA
  • NPI 1528098357
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1083786917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532912",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303532912",
            "telephone_number": "217-337-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012334",
            "telephone_number": "217-337-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLASANI",
        "first_name": "VENUGOPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00051600",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36056262",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1032044",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DA5283",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Pilcher, OT
• Erin Renee Piper
• Lola Pittenger
• Ryleigh Poe
• Pointcore, Inc. (OSF Pharmacy)
• John Pollard, MD
• Valerie A Pollard, DO
• Tracye Pons, LSW
• Marc Porter
• Sara Michelle Powers, PT, DPT

• Anesthesiology Physician in Urbana, IL
• Providers in Urbana, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.