Ramakrishna P Venugopalan, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

22143 Issued in WI

Practice address

252 McHenry St
Burlington, WI 53105-1828

Phone

(262) 767-6148

Fax

(262) 767-6147

NPI assigned

Sep 21, 2005

Last updated

Jun 5, 2008By 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 1

Other names 1

• Rama P Venu Professional name

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.

• Ramakrishna P Venugopalan MD SC

  • Gastroenterology Physician
  • Burlington, WI
  • NPI 1245269737
  Authorized official Same address or phone
• Lakeshore Gastroenterology and Liver Disease Institute S.C.

  • Gastroenterology Physician
  • Oak Park, IL
  • NPI 1528237765
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1265428775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MCHENRY ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051828",
            "telephone_number": "262-767-6148",
            "fax_number": "262-767-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MCHENRY ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051828",
            "telephone_number": "262-767-6148",
            "fax_number": "262-767-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENUGOPALAN",
        "first_name": "RAMAKRISHNA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "22143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30307400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMA",
            "last_name": "VENU",
            "middle_name": "P",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Trusting Your Journey Counseling
• Jolanta M Twardy, MD
• Arvydas Urbonas, M.D
• Katie Vanbeckum, NP
• Hendrikus L Vander Sterren, PA
• Annette Renee Vielleux, PSY.D.
• Shamsuddin Virani, M.D.
• Virginia G Vos, LPN
• Jennifer Vozel, RN
• Sandra K Wachal, LPN

• Gastroenterology Physician in Burlington, WI
• Providers in Burlington, WI by specialty
• Gastroenterology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.