Venkateswararao Alla, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036056049 Issued in IL

Practice address

400 John Deere Rd BLDG 1
Moline, IL 61265-6898

Phone

(309) 517-3036

Fax

(309) 797-1088

NPI assigned

Jun 9, 2005

Last updated

Jun 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Midwest Nephrology Group, LLC

  • Nephrology Physician
  • Dixon, IL
  • NPI 1598824492
  NPD (past) Authorized official
• Quad Cities Nephrology Associates, P.L.C., LLC

  • Nephrology Physician
  • Moline, IL
  • NPI 1740349034
  Authorized official Same address or phone
• Dixon Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dixon, IL
  • NPI 1457350563
  NPD (past)
• Quad Cities Kidney Center Rock Island, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rock Island, IL
  • NPI 1023262235
  NPD (past)
• Quad Cities Kidney Center, LTD.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Geneseo, IL
  • NPI 1417956319
  NPD (past)
• Muscatine Kidney Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Muscatine, IA
  • NPI 1124345301
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1669476339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JOHN DEERE RD",
            "address_2": "BLDG 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656898",
            "telephone_number": "309-517-3036",
            "fax_number": "309-797-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JOHN DEERE RD BLDG 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656898",
            "telephone_number": "309-517-3036",
            "fax_number": "309-797-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLA",
        "first_name": "VENKATESWARARAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036056049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alignmed Medical Group Il SC
• Himabindu Alla, MD
• Nandita Alla, MD
• Rajesh Alla, M.D.
• Suresh Alla, M.D.
• Angela Mecagni Allen, LCSW
• Elijah J Allen
• Lawrence W Allen, MD
• Melinda Sue Allison, APN
• Allure of the Quad Cities, LLC

• Nephrology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.