Individual provider Active NPI

Venkateswara Velaga, MD

  • Cardiovascular Disease Physician
  • Hopkinsville, KY
National Provider Identifier
1740246289
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
31612 Issued in KY
Practice address
1600 Canton St
Hopkinsville, KY 42240-1924
Phone
(270) 886-0251
Fax
(270) 886-0252
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 31612 KY Primary

Addresses

Primary practice location

1600 Canton St
Hopkinsville, KY 42240-1924

Mailing address

PO Box 548
Hopkinsville, KY 42241-0548
Phone (270) 886-0251

Other identifiers 1

IdentifierTypeStateIssuer
64316128MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20081003000736 KY Practitioner - Cardiovascular Disease (Cardiology) 4183704265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

1600 Canton St
Hopkinsville, KY 42240-1924
Phone (270) 886-0251

320 W 18TH St
Hopkinsville, KY 42240-1965
Phone (270) 887-0100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trigg County Hospital, Inc CurrentSince Jun 14, 2009 Accepting new patients
Trigg County Hospital, Inc Cardiovascular Disease CurrentSince Jun 14, 2009 Accepting new patients
Jennie Stuart Medical Center Inc Cardiovascular Disease CurrentSince Aug 1, 1995 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Aug 1, 1995 Accepting new patients
Centennial Heart LLC Cardiovascular Disease PastSince Sep 1, 1998 Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

Interoperability endpoints

  • Direct secure messaging: venkateswara.velaga.1@20491.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1740246289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410548",
            "telephone_number": "270-886-0251",
            "fax_number": "270-886-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CANTON ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401924",
            "telephone_number": "270-886-0251",
            "fax_number": "270-886-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAGA",
        "first_name": "VENKATESWARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "31612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64316128",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.