Ravikumar Vemuru, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J5044 Issued in TX

Practice address

315 E 5TH St
Odessa, TX 79761-5133

Phone

(432) 333-3433

Fax

(432) 333-3450

NPI assigned

Aug 16, 2006

Last updated

Sep 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Permian Gastroenterology Associates LLP

  • Gastroenterology Physician
  • Odessa, TX
  • NPI 1295946259
  Authorized official Same address or phone
• Ector County Hospital District

  dba MCH Urgent Care

  • Urgent Care Clinic/Center
  • Odessa, TX
  • NPI 1366680555
  NPD (past)
• Permian Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Odessa, TX
  • NPI 1679686505
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1205949120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615133",
            "telephone_number": "432-333-3433",
            "fax_number": "432-333-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615133",
            "telephone_number": "432-333-3433",
            "fax_number": "432-333-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEMURU",
        "first_name": "RAVIKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J5044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "U8947",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080701802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100012089",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "126089100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany L Vaught, FNP
• Amanda Jade Clayton Vega, M.A.
• Veronica Vega, FNP
• Priya Darshini Velumani, MD
• Syam S Vemulapalli, MD
• Laura Leigh Venesky, OTR
• Nichole L. Venters, R.PH.
• Irene Vera, FNP-C
• Stacy Vera
• Amber Elisa Vetter, DNP

• Specialist in Odessa, TX
• Providers in Odessa, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.