Individual provider Active NPI

Venkata Pericherla

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1407914302
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD064819L Issued in PA
Practice address
988 SW 154TH Path
Miami, FL 33194-2786
Phone
(814) 931-3736
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD064819L PA Primary

Addresses

Primary practice location

988 SW 154TH Path
Miami, FL 33194-2786

Mailing address

PO Box 770340
Miami, FL 33177-0006
Phone (814) 931-3736

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 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
I20100917000009 PA Practitioner - Internal MedicinePractitioner - Hospitalist 1153446976 Reassigns benefits to 1 organization
I20211006002444 FL Practitioner - Internal MedicinePractitioner - Hospitalist 1153446976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000

Hospital & facility affiliations

  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
  • Lawnwood Physical Rehab Center Inpatient rehabilitation facility, Fort Pierce, FL, CCN 10T246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD064819LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Eastside Hospitalists Inc CurrentSince Sep 1, 2021 Accepting new patients
Upmc Altoona CurrentSince Dec 1, 2017 Accepting new patients
Upmc Altoona CurrentSince Dec 1, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

Interoperability endpoints

  • Direct secure messaging: upmchospitals@upmcdirect.com

Organizations & group practices 5

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 3

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1407914302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770340",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770006",
            "telephone_number": "814-931-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 SW 154TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942786",
            "telephone_number": "814-931-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERICHERLA",
        "first_name": "VENKATA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD064819L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.