Individual provider Active NPI

Krish George Venoo, M.D.

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1487829834
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036-054269 Issued in IL
Practice address
326 W 64TH St
2ND Floor
Chicago, IL 60621-3114
Phone
(773) 995-3463
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036-054269 IL Primary

Addresses

Primary practice location

326 W 64TH St
2ND Floor
Chicago, IL 60621-3114

Mailing address

230 Wood Glen LN
Oak Brook, IL 60523-1534
Phone (630) 567-5885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000335 IL Practitioner - General SurgeryPractitioner - General Practice 1153227194 Reassigns benefits to 4 organizations
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2210 Midwest Rd
Suite 102
Oak Brook, IL 60523-8206
Phone (630) 473-7963

3030 Warrenville Rd
Suite 450 02
Lisle, IL 60532-1000
Phone (630) 473-7963

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-054269ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MB Medical PLLC CurrentSince Jun 21, 2021 Accepting new patients
MB Medical PLLC CurrentSince Jun 21, 2021 Accepting new patients
Foundation for Outreach Services CurrentSince Jun 1, 2014 Accepting new patients
Revive Wound Care LLC CurrentSince May 6, 2024 Accepting new patients
West Suburban Wound Care LLC CurrentSince Mar 1, 2025 Accepting new patients
Carrington Radiology, S.C. Past Accepting new patients

Locations

326 W 64th St
Fl 2
Chicago, IL 60621
Phone (773) 962-3900

6307 S Stewart Ave
Chicago, IL 60621
Phone (773) 776-8800

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

3030 Warrenville Rd
Ste 45002
Lisle, IL 60532
Phone (630) 473-7963

2210 Midwest Rd
Ste 102
Oak Brook, IL 60523
Phone (630) 235-6868

Interoperability endpoints

  • Direct secure messaging: kvenoo@direct-address.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1487829834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WOOD GLEN LN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231534",
            "telephone_number": "630-567-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213114",
            "telephone_number": "773-995-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENOO",
        "first_name": "KRISH",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-054269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.