NPIMap

Individual provider Active NPI

Julian Venegas, DO

  • Family Medicine Physician
  • Collierville, TN
National Provider Identifier
1659364545
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2202 Issued in TN
Practice address
400 Market Blvd Ste 101
Collierville, TN 38017-6516
Phone
(901) 752-6963
Fax
(901) 737-3640
NPI assigned
Aug 25, 2005
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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 DO2202 TN Primary

Addresses

Primary practice location

400 Market Blvd Ste 101
Collierville, TN 38017-6516

Mailing address

PO Box 405827
Atlanta, GA 30384-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130716000488 TN Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2264410307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMG Family Physicians Group Foundation IncGroup PAC ID 1557508983, 21 clinicians

Practice addresses (Care Compare)

7685 Winchester Rd
Suite 100
Memphis, TN 38125-2202
Phone (901) 260-9301

8040 Wolf River Blvd
Suite 103
Germantown, TN 38138-1773
Phone (901) 726-0200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.58 of 100Reported as group
Quality
74.9
Promoting interoperability
100
Improvement activities
40
Cost
77.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2202TNMDFamily Medicine Physician
2202TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
BMG Family Physicians Group Foundation, Inc Family Medicine CurrentSince Jul 12, 2013 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 1, 2019 Accepting new patients
Family Physicians Group PC Family Medicine PastSince Jul 12, 2013 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

3091 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 260-9303

400 Market Blvd
Ste 101
Collierville, TN 38017
Phone (901) 260-9310

8110 Cordova Rd
Ste 111
Cordova, TN 38016

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

7685 Winchester Rd
Ste 100
Memphis, TN 38125
Phone (901) 260-9301

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

Interoperability endpoints

  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/
  • Direct secure messaging: jvenegas23273@direct.bmhcc.org

Organizations & group practices 4

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.

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1659364545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MARKET BLVD STE 101",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176516",
            "telephone_number": "901-752-6963",
            "fax_number": "901-737-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEGAS",
        "first_name": "JULIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO2202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.