Active NPI
Anne M.R. Venable, MD
- Internal Medicine Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01070798A
- Practice address
- 4100 W 3Rd St
Dayton, OH 45428-9000 - Phone
- (937) 268-6511
- Fax
- (937) 267-5316
- NPI assigned
- May 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01070798A | IN | Primary |
| Internal Medicine Physician | 207R00000X | MD229901 | OR | |
| Internal Medicine Physician | 207R00000X | 25IA12785100 | NJ |
Addresses
Primary practice location
4100 W 3Rd St
Dayton, OH 45428-9000
Mailing address
307 Boatner Rd
Eglin Afb, FL 32542-1302
Phone (850) 883-9905
Other practice location 1
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (862) 415-0509
Other practice location 2
1919 NW Lovejoy St
Portland, OR 97209-1503
Phone (503) 414-5661
Other names 1
- Anne M Rose
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2119 Merrick Rd
Merrick, NY 11566-4704
Phone (516) 377-2820
Hospital & facility affiliations
- North Shore University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336030 | NY | MD | Licensed Practical Nurse |
| 01070798A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Medical of Stony Brook, P.C. | Internal Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2119 Merrick Rd
Merrick, NY 11566
Phone (516) 377-2820
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
Interoperability endpoints
- annevenable@nslijmedgr.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Merrick, NY
- NPI 1649098203
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1376860296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BOATNER RD",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421302",
"telephone_number": "850-883-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W 3RD ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454289000",
"telephone_number": "937-268-6511",
"fax_number": "937-267-5316"
}
],
"practiceLocations": [
{
"address_1": "99 Beauvoir Ave",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079013533",
"country_code": "US",
"telephone_number": "862-415-0509",
"fax_number": "973-238-5104",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1919 NW Lovejoy St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972091503",
"country_code": "US",
"telephone_number": "503-414-5661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENABLE",
"first_name": "ANNE",
"middle_name": "M.R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01070798A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD229901",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25IA12785100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "ROSE",
"middle_name": "M",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.