Venkateswara Kumar Kollipara, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

57.025031 Issued in OH

Practice address

St. Elizabeth Health Center, 1044 Belmont Ave,
Youngstown, OH 44501-1790

Phone

(330) 402-0421

NPI assigned

Jun 20, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1144634833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4852, GREENBRIER DR, GIRARD, YOUNGSTOWN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44420",
            "telephone_number": "330-402-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. ELIZABETH HEALTH CENTER, 1044 BELMONT AVE,",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445011790",
            "telephone_number": "330-402-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLIPARA",
        "first_name": "VENKATESWARA",
        "middle_name": "KUMAR",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.025031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory A Kokosko, LPCC
• Nadeem Koleilat, BDS
• Madhu S Kollipara, MD
• Roop Kamal Kollipara, MD
• Venkata S. K. Kollipara, M.D.
• Gheorghiy Viktorovich Kolosovsky, PT
• Peter C Koma, C.R.N.A.
• Kate Komlanc, ED.S, NCSP
• Judith Kompanik
• Jason Andrew Komsa

• Internal Medicine Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.