Individual provider Active NPI

Venkatappa M Padmanabha, M.D FACP

  • Adolescent Medicine (Internal Medicine) Physician
  • Barstow, CA
National Provider Identifier
1710946843
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
A40810 Issued in CA
Practice address
902 E Main St
Barstow, CA 92311-2406
Phone
(760) 255-4700
Fax
(760) 255-3840
NPI assigned
Mar 18, 2006
Last updated
Jun 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X A40810 CA Primary

Addresses

Primary practice location

902 E Main St
Barstow, CA 92311-2406

Mailing address

902 E Main St
Barstow, CA 92311-2406
Phone (760) 255-4700

Other identifiers 1

IdentifierTypeStateIssuer
00A408100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000546 CA Practitioner - Internal Medicine 6901090042 Reassigns benefits to 1 organization
Practice locations: Barstow, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caremd, Inc.Group PAC ID 9133390297, 7 clinicians

Practice addresses (Care Compare)

1890 W Main St
Suite 110
Barstow, CA 92311-3726
Phone (760) 256-1422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as individual
Quality
65.92
Improvement activities
40
Cost
86.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40810CAMDAdolescent Medicine (Internal Medicine) Physician
40810CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caremd, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Choice Healthcare Associates Inc PastSince Jan 1, 2026 Accepting new patients

Locations

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

1890 W Main St
Ste 110
Barstow, CA 92311
Phone (760) 256-1422

Interoperability endpoints

  • Direct secure messaging: venkatappapadmanabha@vmpmd.allscriptsdirect.net

Organizations & group practices 2

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 4

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": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1710946843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112406",
            "telephone_number": "760-255-4700",
            "fax_number": "760-255-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112406",
            "telephone_number": "760-255-4700",
            "fax_number": "760-255-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADMANABHA",
        "first_name": "VENKATAPPA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "A40810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A408100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

Verify at the official NPI Registry.