Organization Active NPI

Venus OB-GYN Inc

  • Obstetrics & Gynecology Physician
  • Cranston, RI
National Provider Identifier
1104338508
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD14395 Issued in RI
Legal business name
VENUS OB-GYN INC
Practice address
1150 Reservoir Ave Ste 300
Cranston, RI 02920-6043
Phone
(401) 223-2828
Fax
(401) 223-2825
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Amr Kader, MD
Title
Owner
Phone
(401) 223-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD14395 RI Primary

Addresses

Primary practice location

1150 Reservoir Ave Ste 300
Cranston, RI 02920-6043

Mailing address

1150 Reservoir Ave Ste 300
Cranston, RI 02920-6043
Phone (401) 223-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180208002583 RI Part B Supplier - Clinic/Group Practice 5092075226 Receives reassigned benefits from 6 practitioners
Practice locations: Cranston, RI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2145484Venus OB-GYN1150 Reservoir Ave Ste 300, Cranston, RI 02920ComplianceJul 19, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: akader@direct.carene.org

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1104338508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 300",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206043",
            "telephone_number": "401-223-2828",
            "fax_number": "401-223-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 300",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206043",
            "telephone_number": "401-223-2828",
            "fax_number": "401-223-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENUS OB-GYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "KADER",
        "authorized_official_first_name": "AMR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-223-2828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD14395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.