Venkata A Vallury, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H7241 Issued in TX

Practice address

13000 Josey LN Ste 100
Farmers Branch, TX 75234-3669

Phone

(972) 791-8029

Fax

(214) 999-9363

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vvallury@pmpeds.opdirect.net

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.

• Southtown Medical Center, LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1629022058
  NPD (past) Authorized official

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1356346241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N PEARL ST STE N510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012863",
            "telephone_number": "214-580-7277",
            "fax_number": "214-999-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 JOSEY LN STE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752343669",
            "telephone_number": "972-791-8029",
            "fax_number": "214-999-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLURY",
        "first_name": "VENKATA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-07-10",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H 7241",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165412",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Diagnostic Services LLC
• United Diagnostic Services LLC
• Estefania Uribe
• Jennifer Carolyn Uriostegui, LVN
• US Diabetes LLC
• Vargas Dreams, PC
• Juan Ramon Vargas-Santos
• Villa Creek Medical Inc
• Alexander Lyubomirov Vuchkov
• Wal-Mart Stores Texas LLC

• Family Medicine Physician in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.