Individual provider Active NPI

Praveen Venigalla

  • Cardiovascular Disease Physician
  • Lafayette, IN
National Provider Identifier
1528352598
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01092317A Issued in IN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NC3370MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC, SC, TX, IN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20160425000966 PA Practitioner - Internal Medicine 6103125232 Reassigns benefits to 1 organization
I20171110002536 NC Practitioner - Internal MedicinePractitioner - Hospitalist 6103125232 Reassigns benefits to 3 organizations
I20190910002908 SC Practitioner - Internal Medicine 6103125232 Reassigns benefits to 2 organizations
I20240426000116 TX Practitioner - Cardiovascular Disease (Cardiology) 6103125232 Reassigns benefits to 1 organization
I20240528001587 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103125232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

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

LicenseStateTypeSpecialty
2017-00547NCMDInternal Medicine Physician
52426SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Franciscan Physician Network Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Apr 23, 2024 Accepting new patients
Columbus Regional Health Network Internal Medicine CurrentSince May 7, 2018 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 CurrentSince Jun 1, 2017 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Aug 22, 2017 Accepting new patients
Columbus Regional Health Network CurrentSince May 7, 2018 Accepting new patients
Prisma Health Medical Group-Midlands Hospitalist CurrentSince Nov 22, 2022 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 22, 2022 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Apr 23, 2024 Accepting new patients
Scotland Regional Health Network CurrentSince May 7, 2018 Accepting new patients
Scotland Regional Health Network Internal Medicine CurrentSince May 7, 2018 Accepting new patients
Franciscan Physician Network CurrentSince Jun 1, 2024 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

  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 5

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": "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

Sources for this page

Verify at the official NPI Registry.