Individual provider Active NPI

Veneela Koppolu

  • Family Medicine Physician
  • Yardley, PA
National Provider Identifier
1558066365
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD496320 Issued in PA
Practice address
657 Heacock Rd
Yardley, PA 19067-6338
Phone
(215) 750-7150
Fax
(215) 701-0913
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD496320 PA Primary

Addresses

Primary practice location

657 Heacock Rd
Yardley, PA 19067-6338

Mailing address

657 Heacock Rd
Yardley, PA 19067-6338
Phone (215) 750-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241114003031 PA Order and Referring Only - Family PracticePractitioner - Family Practice 9133653025

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

41 University Dr
Suite 300
Newtown, PA 18940-1873

657 Heacock Rd
Yardley, PA 19067-6338

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: veneela.koppolu@dhcp.eclinicaldirectplus.com

Hospital & facility affiliations 1

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1558066365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 HEACOCK RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676338",
            "telephone_number": "215-750-7150",
            "fax_number": "215-701-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 HEACOCK RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676338",
            "telephone_number": "215-750-7150",
            "fax_number": "215-701-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPOLU",
        "first_name": "VENEELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD496320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.