Individual provider Active NPI

Venkat Eswara-Rao Namburu, M.D.

  • Gastroenterology Physician
  • Fort Worth, TX
National Provider Identifier
1124172010
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
L3766 Issued in TX
Practice address
7633 Bellaire Dr S
Suite 105
Fort Worth, TX 76132-4311
Phone
(817) 386-5767
Fax
(817) 386-5857
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X L3766 TX Primary

Addresses

Primary practice location

7633 Bellaire Dr S
Suite 105
Fort Worth, TX 76132-4311

Mailing address

7633 Bellaire Dr S
Suite 105
Fort Worth, TX 76132-4311
Phone (817) 386-5767

Other identifiers 1

IdentifierTypeStateIssuer
151742702MedicaidTX

Other names 1

  • Dr. Venkateswara Rao Namburu Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051019000233 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 5698791655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7633 Bellaire Dr S
Suite 105
Fort Worth, TX 76132-4311
Phone (817) 386-5767

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.63
Improvement activities
40
Cost
88.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy96
Upper gastrointestinal (GI) endoscopy for acid reflux119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Venkat Namburu MD PA Gastroenterology CurrentSince Feb 9, 2005 Accepting new patients

Locations

11803 South Fwy
Ste 215
Burleson, TX 76028
Phone (817) 293-3000

7633 Bellaire Dr S
Ste 105
Fort Worth, TX 76132
Phone (817) 386-5767

Interoperability endpoints

  • Direct secure messaging: venkatnamburu@namburu.direct.emds.com

Organizations & group practices 1

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 5

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1124172010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 BELLAIRE DR S",
            "address_2": "SUITE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324311",
            "telephone_number": "817-386-5767",
            "fax_number": "817-386-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 BELLAIRE DR S",
            "address_2": "SUITE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324311",
            "telephone_number": "817-386-5767",
            "fax_number": "817-386-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMBURU",
        "first_name": "VENKAT",
        "middle_name": "ESWARA-RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L3766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151742702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENKATESWARA",
            "last_name": "NAMBURU",
            "middle_name": "RAO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.