Venkatesh Movva, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

20519 Issued in OK

Practice address

6565 S Yale Ave
#212
Tulsa, OK 74136

Phone

(918) 502-4000

Fax

(918) 502-4001

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFHEAA

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.

• Pain Diagnosis and Treatment Center, PLLC

  • Interventional Pain Medicine Physician
  • Tulsa, OK
  • NPI 1841489333
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1457372260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE",
            "address_2": "#212",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-502-4000",
            "fax_number": "918-502-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE",
            "address_2": "#212",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-502-4000",
            "fax_number": "918-502-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVVA",
        "first_name": "VENKATESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OK",
            "license": "20519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC STATE OF OK",
            "identifier": "103863500",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7999176",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Houssayn Moussa, M.D.
• Mohammad Moussavi, MD
• Hosam A Mousselli, MD
• Move by Design, PLLC
• Movement Laboratory
• John D Mowry, MD
• Katherine Marie Moxley, M.D.
• Jeremy Moya, APRN-CNP
• Alexandria Moyer
• Stevie Nicole Moyer

• Pain Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.