Individual provider Active NPI

Venkatesh Gowda

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1104490218
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016607 Issued in NC
Practice address
2310 Erwin Rd
Durham, NC 27710-2007
Phone
(919) 684-0280
NPI assigned
May 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016607 NC Primary
Family Nurse Practitioner 363LF0000X SP024387 PA

Addresses

Primary practice location

2310 Erwin Rd
Durham, NC 27710-2007

Mailing address

2500 Dekalb Pike Ste 301
East Norriton, PA 19401-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211215000123 PA Practitioner - Nurse Practitioner 2365832953 Reassigns benefits to 2 organizations
I20221019000799 NC Practitioner - Nurse Practitioner 2365832953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

3643 N Roxboro Rd
Durham, NC 27704-2702
Phone (919) 470-8490

3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5356

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP024387PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Nov 1, 2021 Accepting new patients
Duke University Health System, Inc. Internal Medicine CurrentSince Oct 24, 2022 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Physician Inc. Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Nov 1, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Oct 24, 2022 Accepting new patients
Temple Physicians Inc. CurrentSince Nov 1, 2021 Accepting new patients
Reddy & Associates PC PastSince Aug 1, 2006 Accepting new patients
Temple Physicians Inc Internal Medicine Past Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

7600 Central Ave
Fl 2
Philadelphia, PA 19111
Phone (215) 725-7600

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1104490218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DEKALB PIKE STE 301",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194012007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277102007",
            "telephone_number": "919-684-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "VENKATESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016607",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.