Active NPI
Venugopal K. Menon, M.D.
- Allergy Physician
- Bellaire, TX
National Provider Identifier
1457357808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- G0597
- Practice address
- 4710 Bellaire Blvd
Ste 200
Bellaire, TX 77401-4526 - Phone
- (713) 661-1444
- Fax
- (713) 661-6604
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | G0597 | TX | Primary |
Addresses
Primary practice location
4710 Bellaire Blvd
Ste 200
Bellaire, TX 77401-4526
Mailing address
4710 Bellaire Blvd
Ste 200
Bellaire, TX 77401-4526
Phone (713) 661-1444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G0597 | TX | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1457357808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 BELLAIRE BLVD",
"address_2": "STE 200",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774014526",
"telephone_number": "713-661-1444",
"fax_number": "713-661-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 BELLAIRE BLVD",
"address_2": "STE 200",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774014526",
"telephone_number": "713-661-1444",
"fax_number": "713-661-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENON",
"first_name": "VENUGOPAL",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "TX",
"license": "G0597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.