NPIMap

Individual provider Active NPI

Ven Kottapalli, MD, CNSP

  • Gastroenterology Physician
  • Lima, OH
National Provider Identifier
1144288408
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35078041 Issued in OH
Practice address
512 N Cable Rd
Lima, OH 45805-2133
Phone
(419) 228-2600
Fax
(419) 228-1100
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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 35078041 OH Primary

Addresses

Primary practice location

512 N Cable Rd
Lima, OH 45805-2133

Mailing address

512 N Cable Rd
Lima, OH 45805-2133
Phone (419) 228-2600

Other practice location 1

770 W High St
Ste 290
Lima, OH 45801-3990
Phone (419) 228-2600

Other identifiers 3

IdentifierTypeStateIssuer
000000243040OtherOHANTHEM
2205278MedicaidOH
5539641OtherOHAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Glenwood Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000772 OH Practitioner - Gastroenterology 6305745910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Physicians IncGroup PAC ID 9234038845, 5 clinicians

Practice addresses (Care Compare)

512 N Cable Rd
Lima, OH 45805-2133
Phone (419) 228-2600

Hospital & facility affiliations

  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy423
Upper gastrointestinal (GI) endoscopy for acid reflux325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078041OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Case Center for Surgery & Endoscopy LLC Gastroenterology Current Accepting new patients
Gi Physicians Inc Gastroenterology CurrentSince Oct 14, 2002 Accepting new patients
Cable Sleep LLC Current Accepting new patients
Norton Enterprises, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

1005 Bellefontaine Ave
Ste 360
Lima, OH 45804
Phone (419) 225-7777

770 W High St
Ste 290
Lima, OH 45801
Phone (800) 527-3872

Organizations & group practices 6

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1144288408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052133",
            "telephone_number": "419-228-2600",
            "fax_number": "419-228-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052133",
            "telephone_number": "419-228-2600",
            "fax_number": "419-228-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 W High St",
            "address_2": "Ste 290",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458013990",
            "country_code": "US",
            "telephone_number": "419-228-2600",
            "fax_number": "419-228-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTTAPALLI",
        "first_name": "VEN",
        "credential": "MD, CNSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35078041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000243040",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205278",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5539641",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Glenwood",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "512 N Cable Rd",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458052133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.