Individual provider Active NPI

Anita Balepur Venkataramana, MD

  • Neurology Physician
  • Reno, NV
National Provider Identifier
1528003191
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DR.0059580 Issued in CO
Practice address
1155 Mill St
Reno, NV 89502-1576
Phone
(775) 982-5000
Fax
(775) 982-5496
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME152299 FL
Neurology Physician 2084N0400X D63355 MD
Neurology Physician 2084N0400X DR.0059580 CO Primary
Neurology Physician 2084N0400X 6071793 ID
Neurology Physician 2084N0400X 41568 OK
Neurology Physician 2084N0400X 807 WI

Addresses

Primary practice location

1155 Mill St
Reno, NV 89502-1576

Mailing address

1350 Hickory St
Melbourne, FL 32901-3278

Other practice location 1

11750 W 2nd Pl Ste 255
Lakewood, CO 80228-1726
Phone (720) 321-8040

Other practice location 2

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-3533

Other practice location 3

700 W Ironwood Dr Ste 158
Coeur D Alene, ID 83814-4404
Phone (208) 625-5100

Other practice location 4

6565 S Yale Ave Ste 209
Tulsa, OK 74136-8303
Phone (918) 488-0990

Other practice location 5

10332 Fallsgrove St
Orlando, FL 32836-7504
Phone (443) 928-8689

Other identifiers 5

IdentifierTypeStateIssuer
1528003191MedicaidMN
N7802OtherFLFL HF MEDICARE
235588400MedicaidMD
281383100MedicaidFL
P00868056OtherNDRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CO, WI, ID4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20071023000529 NE Practitioner - Neurology 6608807847 Reassigns benefits to 1 organization
I20171204001789 CO Practitioner - Neurology 6608807847 Reassigns benefits to 1 organization
I20200530000109 WI Practitioner - Neurology 6608807847 Reassigns benefits to 1 organization
I20230227001221 ID Practitioner - Neurology 6608807847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

7710 Mercy Rd
Suite 3000
Omaha, NE 68124-2350
Phone (402) 343-8650

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19717NVMDPharmacist
DR.0059580COMDNeurology Physician
ME152299FLMDNeurology Physician
6071793IDMDNeurology Physician
41568OKMDNeurology Physician
807WIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Family Medicine CurrentSince Jul 15, 2023 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Apr 29, 2020 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Oct 1, 2023 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Oct 1, 2023 Accepting new patients
West Florida Regional Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

750 Wellington Ave
Ste 3C
Grand Junction, CO 81501
Phone (970) 243-7908

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

2771 Solution Ctr
Chicago, IL 60677

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7710 Mercy Rd
Ste 3000
Omaha, NE 68124
Phone (402) 717-9600

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

W126N7338 Flint Dr
Ste 200
Menomonee Falls, WI 53051

W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1528003191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 HICKORY ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-5496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 W 2nd Pl Ste 255",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281726",
            "country_code": "US",
            "telephone_number": "720-321-8040",
            "fax_number": "720-321-1726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-3533",
            "fax_number": "321-434-3438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Ironwood Dr Ste 158",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144404",
            "country_code": "US",
            "telephone_number": "208-625-5100",
            "fax_number": "208-625-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 S Yale Ave Ste 209",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741368303",
            "country_code": "US",
            "telephone_number": "918-488-0990",
            "fax_number": "918-728-8036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10332 Fallsgrove St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328367504",
            "country_code": "US",
            "telephone_number": "443-928-8689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENKATARAMANA",
        "first_name": "ANITA",
        "middle_name": "BALEPUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME152299",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D63355",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0059580",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ID",
            "license": "6071793",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "41568",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528003191",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HF MEDICARE",
            "identifier": "N7802",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235588400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281383100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00868056",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.