Active NPI
VSR PLLC
- Internal Medicine Physician
- Decatur, IL
National Provider Identifier
1104510650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VSR PLLC
- Practice address
- 180 W Imboden Dr
Decatur, IL 62521-5238 - Phone
- (715) 207-1134
- NPI assigned
- Jun 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Venu M Rangu, MD
- Title
- President
- Phone
- (715) 387-9055
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Hospitalist Physician | 208M00000X |
Addresses
Primary practice location
180 W Imboden Dr
Decatur, IL 62521-5238
Mailing address
4200 Conestoga Dr Ste 102
PO Box 178
Springfield, IL 62711-7937
Phone (715) 207-1134
Other practice location 1
1790 S Fairview Ave
Decatur, IL 62521-4010
Phone (715) 207-1134
Other practice location 2
500 W McKinley Ave
Decatur, IL 62526-3281
Phone (715) 207-1134
Other practice location 3
565 W Marion Ave
Forsyth, IL 62535-2099
Phone (715) 207-1134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F100973628 | Other | IL | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Springfield, IL
- NPI 1164031803
-
- Family Nurse Practitioner
- Springfield, IL
- NPI 1538683032
-
- Hospitalist Physician
- Springfield, IL
- NPI 1639495971
Internal Medicine
-
- Family Nurse Practitioner
- Springfield, IL
- NPI 1750870051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687219200000",
"number": "1104510650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 CONESTOGA DR STE 102",
"address_2": "PO BOX 178",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627117937",
"telephone_number": "715-207-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 W IMBODEN DR",
"city": "DECATUR",
"state": "IL",
"postal_code": "625215238",
"telephone_number": "715-207-1134"
}
],
"practiceLocations": [
{
"address_1": "1790 S Fairview Ave",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625214010",
"country_code": "US",
"telephone_number": "715-207-1134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W McKinley Ave",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625263281",
"country_code": "US",
"telephone_number": "715-207-1134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "565 W Marion Ave",
"address_purpose": "LOCATION",
"city": "Forsyth",
"state": "IL",
"postal_code": "625352099",
"country_code": "US",
"telephone_number": "715-207-1134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VSR PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "RANGU",
"authorized_official_first_name": "VENU",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-387-9055",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "F100973628",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.