NPIMap

Individual provider Active NPI

Venkata Emani, M.D.

  • Interventional Cardiology Physician
  • Stockton, CA
National Provider Identifier
1184706343
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A80313 Issued in CA
Practice address
415 E Harding Way Ste D
Stockton, CA 95204-6118
Phone
(209) 944-5755
Fax
(209) 464-2684
NPI assigned
Oct 19, 2006
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A80313 CA
Interventional Cardiology Physician 207RI0011X A80313 CA Primary

Addresses

Primary practice location

415 E Harding Way Ste D
Stockton, CA 95204-6118

Mailing address

415 E Harding Way Ste D
Stockton, CA 95204-6118
Phone (209) 944-5755

Other practice location 1

1148 Norman Dr
2
Manteca, CA 95336
Phone (209) 239-7852

Other identifiers 2

IdentifierTypeStateIssuer
P00004635OtherCARAILROAD MEDICARE
00A0803130MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090903000693 CA Practitioner - Interventional Cardiology 6608921135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stockton Cardiology Medical Group Complete Heart Care IncGroup PAC ID 8921048257, 14 clinicians

Practice addresses (Care Compare)

1148 Norman Dr
Manteca, CA 95336-5961

415 E Harding Way
Stockton, CA 95204-6118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.64 of 100Reported as group
Quality
91.04
Promoting interoperability
74
Improvement activities
40
Cost
73.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair11
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37024KYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Tracy Community Hospital Past Accepting new patients
Baptist St. Anthony's Hospital Corporation Past Accepting new patients
Northwest Texas Healthcare System Inc Past Accepting new patients
Eastern Kentucky Cardiology Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIABCA/Endpoint/AIABCA
  • Direct secure messaging: vemani136326@hpmg.direct-ci.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1184706343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HARDING WAY STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046118",
            "telephone_number": "209-944-5755",
            "fax_number": "209-464-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E HARDING WAY STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046118",
            "telephone_number": "209-944-5755",
            "fax_number": "209-464-2684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1148 Norman Dr",
            "address_2": "2",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "95336",
            "country_code": "US",
            "telephone_number": "209-239-7852",
            "fax_number": "209-239-7842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMANI",
        "first_name": "VENKATA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A80313",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A80313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00004635",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A0803130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.