NPIMap

Individual provider Active NPI

Venkata S Tammana, M.D.

  • Gastroenterology Physician
  • Cookeville, TN
National Provider Identifier
1689833048
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
50915 Issued in TN
Practice address
438 N Whitney Ave
Cookeville, TN 38501-2455
Phone
(931) 783-2616
Fax
(931) 783-2610
NPI assigned
Jun 2, 2008
Last updated
May 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 50915 TN Primary

Addresses

Primary practice location

438 N Whitney Ave
Cookeville, TN 38501-2455

Mailing address

127 N Oak Ave
Suite D
Cookeville, TN 38501-2435
Phone (931) 783-5857

Other identifiers 3

IdentifierTypeStateIssuer
6018717OtherTNBCBS
7100412570MedicaidKY
Q006861MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170912000017 WV Practitioner - Gastroenterology 2466671359 Reassigns benefits to 2 organizations
I20251110000689 VA Practitioner - Gastroenterology 2466671359 Reassigns benefits to 1 organization
I20260203001798 PA Practitioner - Gastroenterology 2466671359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

485 Colliers Way
Suite N
Weirton, WV 26062-5012
Phone (304) 723-2152

9 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 245-7350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
35.62
Promoting interoperability
96
Improvement activities
40
Cost
70.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy83
Upper gastrointestinal (GI) endoscopy for acid reflux173

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC CurrentSince Aug 14, 2017 Accepting new patients
Augusta Medical Group CurrentSince Oct 27, 2025 Accepting new patients
Augusta Medical Group CurrentSince Oct 27, 2025 Accepting new patients
Monongalia County General Hospital Company CurrentSince Dec 25, 2023 Accepting new patients
WMC Physician Practices LLC CurrentSince Aug 14, 2017 Accepting new patients
Glade Run Medical Associates CurrentSince Jan 5, 2026 Accepting new patients
Glade Run Medical Associates Inc Gastroenterology CurrentSince Jan 5, 2026 Accepting new patients
American Anesthesiology Consultants PLLC Past Accepting new patients
Glade Run Medical Associates Inc Past Accepting new patients

Locations

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

77 Glade Dr
Kittanning, PA 16201
Phone (724) 545-2205

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

9 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 245-7350

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1000 Mon Health Medical Park Dr
Ste 1100
Morgantown, WV 26505
Phone (304) 598-2200

1000 Mon Health Medical Park Dr
Ste 1101
Morgantown, WV 26505
Phone (304) 598-2700

485 Colliers Way
Ste N
Weirton, WV 26062
Phone (304) 723-2152

651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433

651 Colliers Way
Ste 300
Weirton, WV 26062
Phone (304) 797-6404

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
  • Direct secure messaging: venkata.tammana.1@14718.direct.athenahealth.com

Organizations & group practices 9

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 10

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1689833048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N OAK AVE",
            "address_2": "SUITE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012435",
            "telephone_number": "931-783-5857",
            "fax_number": "931-526-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 N WHITNEY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012455",
            "telephone_number": "931-783-2616",
            "fax_number": "931-783-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMMANA",
        "first_name": "VENKATA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "50915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6018717",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100412570",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006861",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.