Active NPI
Venkata Bharadwaj Kolli, MBBS
- Psychiatry Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 6389
- Practice address
- 985582 Nebraska Medical Ctr
Department of Psychiatry
Omaha, NE 68198-5582 - Phone
- (402) 717-5550
- NPI assigned
- Jul 27, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 6389 | NE | Primary |
Addresses
Primary practice location
985582 Nebraska Medical Ctr
Department of Psychiatry
Omaha, NE 68198-5582
Mailing address
9222 Burt St
Apt:118
Omaha, NE 68114-2479
Phone (402) 717-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 W Norfolk Ave
Faith Regional Health Services
Norfolk, NE 68701-4438
Phone (402) 371-4880
Hospital & facility affiliations
- Faith Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6389 | NE | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Community Hospital Inc | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Psychiatry | Current | Accepting new patients |
| Children'S Hospital & Medical Center | Past | Accepting new patients | |
| Faith Regional Health Services | Past | Accepting new patients |
Locations
4600 38th St
Columbus, NE 68601
Phone (402) 562-3333
47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150
2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131
2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194
Interoperability endpoints
- vkolli24093@direct.nebraskamed.com
- vkolli45884@achce.catholichealth.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
Psychiatry
-
- Surgery Physician
- Columbus, NE
- NPI 1821592205
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1275074577
-
- Children's Hospital
- Omaha, NE
- NPI 1346297843
-
- General Acute Care Hospital
- Norfolk, NE
- NPI 1285676544
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norfolk, NE
- NPI 1285676544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1629382148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9222 BURT ST",
"address_2": "APT:118",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142479",
"telephone_number": "402-717-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985582 NEBRASKA MEDICAL CTR",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "OMAHA",
"state": "NE",
"postal_code": "681985582",
"telephone_number": "402-717-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLI",
"first_name": "VENKATA",
"middle_name": "BHARADWAJ",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "6389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.