Purnima Venkatesh, M.D., P.a.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

PURNIMA VENKATESH, M.D., P.A.

Practice address

2305 Central Park Blvd
Bedford, TX 76022-6111

Phone

(817) 571-6622

Fax

(817) 868-1962

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Purnima Venkatesh, M.D.NPI 1083671796

Title

President

Phone

(817) 571-6622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Purnima Venkatesh, M.D.

  • Allergy & Immunology Physician
  • Bedford, TX
  • NPI 1083671796
  Medicare reassignment Care Compare group NPD Authorized official
• Sven Kjellgren Wust, M.D.

  • Allergy & Immunology Physician
  • Bedford, TX
  • NPI 1467590448
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215076492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 CENTRAL PARK BLVD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226111",
            "telephone_number": "817-571-6622",
            "fax_number": "817-868-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 CENTRAL PARK BLVD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226111",
            "telephone_number": "817-571-6622",
            "fax_number": "817-868-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURNIMA VENKATESH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENKATESH",
        "authorized_official_first_name": "PURNIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-571-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sanjay Vijay Pujar, M.D.
• George Derrick Pylant IV, DDS, MS
• George Derrick Pylant III, D.D.S.
• Shane Pynes, LPC-INTERN
• Xochitl Quinones
• Anna Rabinovich, NP

• Allergy & Immunology Physician in Bedford, TX
• Providers in Bedford, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.