Individual provider Active NPI

Venkat Ram Rakesh Mundra, M.D.

  • Nephrology Physician
  • Nashville, TN
National Provider Identifier
1366706459
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
57070 Issued in TN
Practice address
28 White Bridge Rd Ste 300
Nashville, TN 37205
Phone
(615) 356-4111
Fax
(615) 356-8011
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 57070 TN Primary

Addresses

Primary practice location

28 White Bridge Rd Ste 300
Nashville, TN 37205

Mailing address

28 White Bridge Rd Ste 300
Nashville, TN 37205-1492
Phone (615) 356-4111

Other practice location 1

701 Park Ave South- Medicine
Hennepin County Medical Center
Minneapolis, MN 55415-1829
Phone (612) 873-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170629001357 AL Practitioner - Internal Medicine 1557673837 Reassigns benefits to 1 organization
I20181211003281 TN Practitioner - Nephrology 1557673837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, PCGroup PAC ID 0840282000, 40 clinicians

Practice addresses (Care Compare)

408 42ND Ave N
Suite 300
Nashville, TN 37209-3669
Phone (615) 356-4111

854 W James Campbell Blvd
Suite 101a
Columbia, TN 38401-4671
Phone (931) 388-3209

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Oct 20, 2018 Accepting new patients
Nephrology Associates, PC Nephrology CurrentSince Oct 1, 2018 Accepting new patients
Saint Thomas Medical Partners CurrentSince Oct 20, 2018 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2017 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

854 W James M Campbell Blvd
Ste 101A
Columbia, TN 38401
Phone (931) 388-3209

4220 Harding Pike
Ste 401
Nashville, TN 37205
Phone (615) 222-6618

300 20th Ave N
Fl 9
Nashville, TN 37203

28 White Bridge Pike
Ste 300
Nashville, TN 37205
Phone (615) 356-4111

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1366706459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WHITE BRIDGE RD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051492",
            "telephone_number": "615-356-4111",
            "fax_number": "615-356-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WHITE BRIDGE RD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37205",
            "telephone_number": "615-356-4111",
            "fax_number": "615-356-8011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 PARK AVE SOUTH- MEDICINE",
            "address_2": "HENNEPIN COUNTY MEDICAL CENTER",
            "address_purpose": "LOCATION",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151829",
            "country_code": "US",
            "telephone_number": "612-873-2300",
            "fax_number": "612-904-4358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDRA",
        "first_name": "VENKAT RAM RAKESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "57070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.