Gonzalo Venegas, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

H6974 Issued in TX

Practice address

1135 N Bishop Ave
Dallas, TX 75208-4114

Phone

(214) 942-3100

Fax

(214) 942-8030

NPI assigned

Jul 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Obstetrics/Gynecology

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stella Mattina Health IncGroup PAC ID 5294116091, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gonzalo.venegas@smllc.eclinicaldirectplus.com

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.

• Stella Mattina Health Inc

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1487301230
  Medicare reassignment Care Compare group NPD
• Venegas Medical Foundation

  dba Angeles Clinic

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1194954271
  NPD (past) Authorized official
• Womens Specialty Center PA

  • Specialist
  • Dallas, TX
  • NPI 1174553416
  Authorized official Same address or phone
• Topcare Medical PA

  dba Clinicas Mi Doctor

  • Specialist
  • Irving, TX
  • NPI 1043231400
  NPD
• Stella Mattina Primary Care Inc

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1396568713
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1730112988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084114",
            "telephone_number": "214-942-3100",
            "fax_number": "214-942-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084114",
            "telephone_number": "214-942-3100",
            "fax_number": "214-942-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEGAS",
        "first_name": "GONZALO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H6974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097866001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bob Venceil, LCSW
• Venegas Medical Foundation (Angeles Clinic)
• Allison Venegas, LCSW
• Carlos L. Venegas, M.D.
• Cristal Venegas
• Noelle Venett, DNP, CRNA
• Lakshmi Venigalla, D.D.S
• Mark Anthony Venincasa, DDS
• Bhavani Venkatachalam, DMD, MS
• Abhijeet Venkataraman

• Obstetrics & Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.

Verify at the official NPI Registry.