NPIMap

Organization Active NPI

Ven Whole Healthcare LLC

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1508522350
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VEN WHOLE HEALTHCARE LLC
Practice address
7655 Archer PL
Lincoln, NE 68516-5286
Phone
(402) 991-9630
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Vithyalakshmi Selvaraj, MDNPI 1801006325
Title
Owner
Phone
(402) 991-9630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

7655 Archer PL
Lincoln, NE 68516-5286

Mailing address

7655 Archer PL
Lincoln, NE 68516-5286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220110001588 NE Part B Supplier - Clinic/Group Practice 9234521980 Receives reassigned benefits from 13 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

7700 Eiger Dr
Lincoln, NE 68516
Phone (402) 483-6769

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1508522350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 ARCHER PL",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 ARCHER PL",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165286",
            "telephone_number": "402-991-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEN WHOLE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "SELVARAJ",
        "authorized_official_first_name": "VITHYALAKSHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-991-9630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.