Individual provider Active NPI

Venugopal Rao Damerla, M.D.

  • Internal Medicine Physician
  • Loveland, CO
National Provider Identifier
1609046655
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
48891 Issued in CO
Practice address
5200 Hahns Peak Dr
Loveland, CO 80538-8852
Phone
(970) 962-4900
Fax
(970) 962-4901
NPI assigned
Mar 5, 2008
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48891 CO Primary

Addresses

Primary practice location

5200 Hahns Peak Dr
Loveland, CO 80538-8852

Mailing address

1055 Clermont St
Denver, CO 80220-3808
Phone (303) 765-3485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180531000039 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0244377026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48891COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Affairs CurrentSince Dec 12, 2021 Accepting new patients

Locations

5200 Hahns Peak Dr
Loveland, CO 80538
Phone (970) 836-2566

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1609046655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CLERMONT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203808",
            "telephone_number": "303-765-3485",
            "fax_number": "303-765-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HAHNS PEAK DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388852",
            "telephone_number": "970-962-4900",
            "fax_number": "970-962-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMERLA",
        "first_name": "VENUGOPAL",
        "middle_name": "RAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "48891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.