Individual provider Active NPI

Venkatesh Nara, M.D.

  • Anesthesiology Physician
  • Sierra Vista, AZ
National Provider Identifier
1689609166
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
32171 Issued in AZ
Practice address
77 Calle Portal
Suite B260A
Sierra Vista, AZ 85635-2967
Phone
(520) 515-9751
Fax
(520) 515-9786
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 32171 AZ Primary

Addresses

Primary practice location

77 Calle Portal
Suite B260A
Sierra Vista, AZ 85635-2967

Mailing address

PO Box 160
Scottsdale, AZ 85252-0160
Phone (480) 272-8411

Other identifiers 1

IdentifierTypeStateIssuer
I02428OtherAZUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040504000168 AZ Practitioner - Anesthesiology 7719975309
I20200326002653 NC Practitioner - Anesthesiology 7719975309 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Anesthesia PLLCGroup PAC ID 5991184863, 112 clinicians

Practice addresses (Care Compare)

117 E Kings Hwy
Eden, NC 27288-5201
Phone (336) 623-9711

Hospital & facility affiliations

  • Unc Rockingham Hospital, Eden, NC, CCN 340060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32171AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Anesthesia Medical Group Inc Anesthesiology CurrentSince Aug 19, 2019 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Feb 21, 2020 Accepting new patients
Island Professional Anesthesia LLC Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
360 Anesthesia PLLC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
Sarah Aponte, MD PLC Anesthesiology Past Accepting new patients
Anesthesia & Pain Consultants of SW FL PastSince Jan 1, 2019 Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc PastSince Jan 1, 2013 Accepting new patients
Tuscany Surgical Center LLC Past Accepting new patients
Cochise Group Anesthesia Services, LLC Anesthesiology Past Accepting new patients
Nova Anesthesiologists & Perioperative Services Anesthesiology Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1689609166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852520160",
            "telephone_number": "480-272-8411",
            "fax_number": "480-361-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL",
            "address_2": "SUITE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352967",
            "telephone_number": "520-515-9751",
            "fax_number": "520-515-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARA",
        "first_name": "VENKATESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "32171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I02428",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.