Active NPI
Venkatappa M Padmanabha, M.D FACP
- Adolescent Medicine (Internal Medicine) Physician
- Barstow, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- A40810
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A408100 | Medicaid | CA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1890 W Main St
Suite 110
Barstow, CA 92311-3726
Phone (760) 256-1422
Hospital & facility affiliations
- Vanura Home Health Services, Inc
- Med Care Plus Home Health Inc
- A's Home Health Care, Inc
- Barstow Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A40810 | CA | MD | Adolescent Medicine (Internal Medicine) Physician |
| 40810 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremd, Inc. | Current | Accepting new patients | |
| Choice Healthcare Associates Inc | Past | 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
- 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.
-
- Family Medicine Physician
- Barstow, CA
- NPI 1740588391
-
dba Choice Healthcare Associates
- Exclusive Provider Organization
- Barstow, CA
- NPI 1811038839
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1114948858
-
dba Barstow Community Hospital
- General Acute Care Hospital
- Barstow, CA
- NPI 1780655670
-
- Home Health Agency
- Pasadena, CA
- NPI 1871963140
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1750336525
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.