Active NPI
Marcelo Enrique Venegas, A.P.R.N.
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3008115
- Practice address
- 5100 Outer Loop
Louisville, KY 40219-3023 - Phone
- (502) 968-6226
- Fax
- (502) 966-5562
- NPI assigned
- Jun 25, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3008115 | KY | Primary |
Addresses
Primary practice location
5100 Outer Loop
Louisville, KY 40219-3023
Mailing address
100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 540-3339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100247090 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc | Current | Accepting new patients | |
| Internal Medicine Consultants, PLLC | Family | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Internal Medicine Consultants, PLLC | Past | Accepting new patients | |
| Komg-Louisville Region Inc. | Past | Accepting new patients |
Locations
Dept 8085
Carol Stream, IL 60122
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
1941 Bishop Ln
Ste 900
Louisville, KY 40218
Phone (502) 588-2500
234 E Gray St
Ste 670
Louisville, KY 40202
Phone (502) 629-3477
5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226
Interoperability endpoints
- marcelo.venegas@49428401684484.direct.elationemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1255582755
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dba ULP Vascular Surgery
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- NPI 1356611909
-
- Primary Care Clinic/Center
- Louisville, KY
- NPI 1568613321
-
- Family Medicine Physician
- Louisville, KY
- NPI 1588132203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1467891382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LIBERTY ST STE 800",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021428",
"telephone_number": "502-540-3339",
"fax_number": "502-540-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 OUTER LOOP",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402193023",
"telephone_number": "502-968-6226",
"fax_number": "502-966-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENEGAS",
"first_name": "MARCELO",
"middle_name": "ENRIQUE",
"credential": "A.P.R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-25",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100247090",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.