Active NPI
Krish George Venoo, M.D.
- Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036-054269
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- 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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 36 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-054269 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MB Medical PLLC | Current | Accepting new patients | |
| MB Medical PLLC | Current | Accepting new patients | |
| Foundation for Outreach Services | Current | Accepting new patients | |
| Revive Wound Care LLC | Current | Accepting new patients | |
| West Suburban Wound Care LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Bensenville, IL
- NPI 1093317414
-
- Multi-Specialty Clinic/Center
- Lisle, IL
- NPI 1821895236
-
- Family Medicine Physician
- Chicago, IL
- NPI 1316350242
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1942057955
-
- Clinical Medical Laboratory
- Bensenville, IL
- NPI 1770263543
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1295952059
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.