Active NPI
Praveen Venigalla
- Cardiovascular Disease Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01092317A
- Practice address
- 3900 St Francis Way Ste 200
Lafayette, IN 47905-4940 - Phone
- (765) 775-2800
- Fax
- (765) 775-2831
- NPI assigned
- Jun 7, 2011
- Last updated
- Mar 17, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01092317A | IN | |
| Internal Medicine Physician | 207R00000X | 2017-00547 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 01092317A | IN | Primary |
| Hospitalist Physician | 208M00000X | 52426 | SC |
Addresses
Primary practice location
3900 St Francis Way Ste 200
Lafayette, IN 47905-4940
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
129 N Washington St
Sumter, SC 29150-4949
Phone (803) 434-6771
Other practice location 2
500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-1776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC3370 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NC, SC, TX, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3900 St Francis Way
Suite 200
Lafayette, IN 47905-4923
Phone (765) 463-2399
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-00547 | NC | MD | Internal Medicine Physician |
| 52426 | SC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| Franciscan Physician Network | Internal Medicine | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Internal Medicine | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Columbus Regional Health Network | Internal Medicine | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| Carteret County General Hospital Corporation | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Hospitalist | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Scotland Regional Health Network | Current | Accepting new patients | |
| Scotland Regional Health Network | Internal Medicine | Current | Accepting new patients |
| Franciscan Physician Network | Current | Accepting new patients | |
| Columbus Regional Health Network | Internal Medicine | Past | Accepting new patients |
| Columbus Regional Health Network | Past | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
3900 St Francis Way
Ste 200
Lafayette, IN 47905
Phone (765) 775-2800
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000
500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776
612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8440
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097
115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249
129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752
Interoperability endpoints
- pvenigalla762647@direct.hfhs.org
Organizations & group practices 19
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
Internal Medicine
-
dba Carteret General Hospital
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
-
dba Choctaw Nation Health Care
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
TX
-
dba Advanced Family Care
- Hospitalist Physician
- Whiteville, NC
- NPI 1508001009
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Internal Medicine
-
dba Carolinas Hospitalist Group - Scotland
- Hospitalist Physician
- Laurinburg, NC
- NPI 1972829562
Internal Medicine
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
SC
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
dba Choctaw Nation Health Clinic - Broken Bow
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
-
dba Choctaw Nation Health Clinic-Atoka
- Primary Care Clinic/Center
- Atoka, OK
- NPI 1902078728
-
dba Advanced Orthopedics
- Orthopaedic Surgery Physician
- Whiteville, NC
- NPI 1790224962
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
-
dba Franciscan St. Elizabeth Health
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
dba Franciscan Healthcare Rensselaer
- Critical Access Hospital
- Rensselaer, IN
- NPI 1932589173
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1528352598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 ST FRANCIS WAY STE 200",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054940",
"telephone_number": "765-775-2800",
"fax_number": "765-775-2831"
}
],
"practiceLocations": [
{
"address_1": "129 N Washington St",
"address_purpose": "LOCATION",
"city": "Sumter",
"state": "SC",
"postal_code": "291504949",
"country_code": "US",
"telephone_number": "803-434-6771",
"fax_number": "803-434-3955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Jefferson St",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "284723634",
"country_code": "US",
"telephone_number": "910-642-1776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENIGALLA",
"first_name": "PRAVEEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-07",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01092317A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2017-00547",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01092317A",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "52426",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC3370",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
- Lindsay Michelle Vanlaere, NP-C
- Julie Ann Vanmatre, CRNP
- Joseph Thomas Varnau, MD
- Melissa Vaughn
- Sarah Vaught
- Dagmara Ventresca, DDS
- Via Quest Home Health of Indiana, LLC (Mulberry Community Health Services)
- Viaquest Hospice of Indiana, LLC (Serenity Hospice)
- Viaquest Hospice of Indiana, LLV
- Vibrant Dental LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.