Venkat Namburu MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

L3766 Issued in TX

Legal business name

VENKAT NAMBURU MD PA

Practice address

7633 Bellaire Dr S
Suite 105
Fort Worth, TX 76132-4311

Phone

(817) 386-5767

Fax

(817) 386-5857

NPI assigned

Oct 3, 2005

Last updated

Oct 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Venkat Eswara-Rao Namburu, M.D.NPI 1124172010

Title

President

Phone

(817) 386-5767

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Venkat Eswara-Rao Namburu, M.D.

  • Gastroenterology Physician
  • Fort Worth, TX
  • NPI 1124172010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1407843626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 BELLAIRE DR S",
            "address_2": "SUITE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324311",
            "telephone_number": "817-386-5767",
            "fax_number": "817-386-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 BELLAIRE DR S",
            "address_2": "SUITE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324311",
            "telephone_number": "817-386-5767",
            "fax_number": "817-386-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENKAT NAMBURU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "NAMBURU",
        "authorized_official_first_name": "VENKAT",
        "authorized_official_middle_name": "ESWARA-RAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-386-5767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L3766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181455001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna M Venardos, M.D.
• Marlene Venegas-Ramirez
• Srilatha Venepally, M.D
• Venerable Legacy LLC
• Subhash Venigalla
• Christie Marie Vennel, RN
• Sandia Venord
• Jessica Venzor
• Aileen Vera-Triner
• Essence Vera, PMHNP

• Gastroenterology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.