Donald Jude Vennekotter, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01041321 Issued in IN

Practice address

721 W 13TH St
Suite 220
Jasper, IN 47546-1817

Phone

(812) 482-4494

Fax

(812) 482-4499

NPI assigned

Mar 2, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in IN

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

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.

• Jasper Surgical Associates

  • Surgery Physician
  • Jasper, IN
  • NPI 1073730834
  NPD Authorized official

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1376510958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W 13TH ST",
            "address_2": "SUITE 220",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461817",
            "telephone_number": "812-482-4494",
            "fax_number": "812-482-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W 13TH ST",
            "address_2": "SUITE 220",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461817",
            "telephone_number": "812-482-4494",
            "fax_number": "812-482-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNEKOTTER",
        "first_name": "DONALD",
        "middle_name": "JUDE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01041321",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01041321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHEM BLUE CROSS",
            "identifier": "00000022029",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000220292",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002870",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylin Vaden, RBT
• Milan S Valuch, PA
• Kelly C Vanmeter, LSW
• Lusine Vardanyan, NP
• Meera Vasquez, LCSW
• Lindsay Verkamp, COTA
• Vision Development Center
• Vishal Viswam, M.D.
• Teresa Lynn Voegerl, PTA
• Marcus Voges

• Surgery Physician in Jasper, IN
• Providers in Jasper, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.