Sonnepal Venkat, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD28089 Issued in TN

Practice address

1080 N Ellington Pkwy
Lewisburg, TN 37091-2227

Phone

(904) 805-1300

Fax

(904) 805-1302

NPI assigned

May 31, 2006

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

Enrolled in TN

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

Specialty

Emergency Medicine

Education

Other, 1980

Medicare assignment

May accept Medicare assignment

Group practices

Southland TN Emergency Medical Services LLCGroup PAC ID 5395267132, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne Medical Center Hospital, Waynesboro, TN, CCN 440780

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southland TN Emergency Medical Services LLC

  • Emergency Medicine Physician
  • Waynesboro, TN
  • NPI 1518773712
  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment NPD
• Doolittle Emergency Physicians LLC

  • Emergency Medicine Physician
  • Woodbury, TN
  • NPI 1124324637
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1902858137
  NPD (past)
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine

  NPD (past)
• Madison Behavioral Health, LLC

  • Psychiatry Physician
  • Madison, TN
  • NPI 1891741450
  NPD (past)
• Madison Behavioral Health, LLC

  • Psychiatry Physician
  • Madison, TN
  • NPI 1912938515
  NPD (past)
• Sterling Emergency Services of the Midwest, Inc

  • Emergency Medicine Physician
  • Lewisburg, TN
  • NPI 1700844297
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maury Regional Hospital

  • General Acute Care Hospital
  • Waynesboro, TN
  • NPI 1811927544
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1366489510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532734",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303532734",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N ELLINGTON PKWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912227",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKAT",
        "first_name": "SONNEPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD28089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00051319",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4060230",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3831170",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P00051319",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Top Flight Medical Group LLC
• Shonda Elaine Tormohlen, FNP-C
• Lora Underwood, PHARMD.
• Barton Vanbibber
• Lindsay Schultz Vandever, MS, LAT, ATC
• Brittany Sloan Vincent, D.D.S.
• Koley Wainwright
• Megan Wakefield, RN
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• Emergency Medicine Physician in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.