Individual provider Active NPI

Veena Suvarna Katikineni, MD

  • Rheumatology Physician
  • Victorville, CA
National Provider Identifier
1346770971
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A172714 Issued in CA
Practice address
12677 Hesperia Rd Ste 140
Victorville, CA 92395-7735
Phone
(442) 242-7334
Fax
(442) 242-7372
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MT218370 PA
Student in an Organized Health Care Education/Training Program 390200000X 0116030737 VA
Rheumatology Physician 207RR0500X A172714 CA Primary

Addresses

Primary practice location

12677 Hesperia Rd Ste 140
Victorville, CA 92395-7735

Mailing address

12677 Hesperia Rd Ste 140
Victorville, CA 92395-7735
Phone (442) 242-7334

Other practice location 1

3601 5th Ave Ste 213
Pittsburgh, PA 15213-3403
Phone (412) 647-6700

Other identifiers 1

IdentifierTypeStateIssuer
A172714OtherCAMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20220427002058 CA Practitioner - Rheumatology 2961824214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Maryland School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12677 Hesperia Rd
Suite 140
Victorville, CA 92395-7735
Phone (442) 242-7334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A172714CAMDRheumatology Physician
MT218370PAMDRheumatology Physician
0116030737VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Veena S Katikineni MD Inc a Professional Medical Corporation Rheumatology CurrentSince Jun 1, 2022 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Jul 20, 2023 Accepting new patients
Desert Valley Medical Group, Inc. Rheumatology CurrentSince Jul 20, 2023 Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Locations

12677 Hesperia Rd
Ste 140
Victorville, CA 92395
Phone (442) 242-7334

16850 Bear Valley Rd
Ste 204
Victorville, CA 92395

12677 Hesperia Rd
Victorville, CA 92395
Phone (607) 955-5656

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBEAA/Endpoint/AEBEAA
  • Direct secure messaging: veena.katikineni.p1@direct.dvmg.nextgenshare.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1346770971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD STE 140",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "442-242-7334",
            "fax_number": "442-242-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD STE 140",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "442-242-7334",
            "fax_number": "442-242-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 5th Ave Ste 213",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133403",
            "country_code": "US",
            "telephone_number": "412-647-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATIKINENI",
        "first_name": "VEENA",
        "middle_name": "SUVARNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-03-07",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MT218370",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116030737",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A172714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A172714",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 Grant St., Floor 58",
            "city": "pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.