Active NPI
Veneela Koppolu
- Family Medicine Physician
- Yardley, PA
National Provider Identifier
1558066365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD496320
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241114003031 | PA | Order and Referring Only - 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- veneela.koppolu@dhcp.eclinicaldirectplus.com
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Doylestown, PA
- NPI 1225091697
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.