NPIMap

Individual provider Active NPI

Srinivas Vengala

  • Interventional Cardiology Physician
  • Hot Springs, AR
National Provider Identifier
1710032008
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
E-7044 Issued in AR
Practice address
200 Heartcenter LN
Hot Springs, AR 71913-6351
Phone
(501) 625-8400
Fax
(501) 625-8446
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD072905L PA
Interventional Cardiology Physician 207RI0011X E-7044 AR Primary

Addresses

Primary practice location

200 Heartcenter LN
Hot Springs, AR 71913-6351

Mailing address

PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 625-8400

Other identifiers 1

IdentifierTypeStateIssuer
187677001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20110628000464 AR Practitioner - Cardiovascular Disease (Cardiology) 7618947045 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
CHI St Vincent Medical Group Hot SpringsGroup PAC ID 3971673716, 184 clinicians
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

200 Heartcenter LN
Hot Springs, AR 71913-6351
Phone (501) 624-6641

3214 E Race Ave
Searcy, AR 72143-4810

711 Santa Fe Dr
Searcy, AR 72143-6964
Phone (501) 279-9393

Hospital & facility affiliations

  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • White County Medical Center Hospital, Searcy, AR, CCN 040014
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • Howard Memorial Hospital Hospital, Nashville, AR, CCN 041311
  • Mena Regional Health System Hospital, Mena, AR, CCN 041334

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD072905LPAMDCardiovascular Disease Physician
E-7044ARMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center CurrentSince Aug 11, 2024 Accepting new patients
White County Medical Center Cardiovascular Disease CurrentSince Aug 11, 2024 Accepting new patients
White County Medical Center Current Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Jun 1, 2022 Accepting new patients
CHI St. Vincent Medical Group Hot Springs Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Oct 31, 2020 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Oct 31, 2020 Accepting new patients
Hot Springs MRI Center Past Accepting new patients

Locations

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

960 Highway 71 N
De Queen, AR 71832
Phone (870) 642-6420

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

200 Heartcenter Ln
Hot Springs National Park, AR 71913
Phone (501) 624-6641

711 Santa Fe Dr
Searcy, AR 72143
Phone (501) 279-9393

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

Interoperability endpoints

  • Direct secure messaging: svengala208056@directb.mercy.net

Organizations & group practices 8

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 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1710032008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-625-8400",
            "fax_number": "501-625-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEARTCENTER LN",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136351",
            "telephone_number": "501-625-8400",
            "fax_number": "501-625-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENGALA",
        "first_name": "SRINIVAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD072905L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E-7044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187677001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.