Renuka Velisetty, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME165450 Issued in FL

Practice address

611 N Wymore Rd Ste 220
Winter Park, FL 32789-2843

Phone

(407) 205-8105

Fax

(760) 267-9154

NPI assigned

Apr 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Renu Velisetty Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

Psychiatry

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: renuka.velisetty@avera.sdhealthlink.net

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.

• TMS Therapy Clinic of Orlando, LLC

  • Adult Mental Health Clinic/Center
  • Orlando, FL
  • NPI 1215331822
  Medicare reassignment NPD

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1740623784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N WYMORE RD STE 220",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892843",
            "telephone_number": "407-205-8105",
            "fax_number": "760-267-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N WYMORE RD STE 220",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892843",
            "telephone_number": "407-205-8105",
            "fax_number": "760-267-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELISETTY",
        "first_name": "RENUKA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "MD-45181",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME165450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENU",
            "last_name": "VELISETTY",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wilson Gabriel Velez Perez, MD
• Velez Psychological Services
• Erick Glenn Velez, P.A.-C
• Javier Velez, PSY.D.
• Osvaldo Velez, M.D.
• Udaya Rekha Vemula
• Mary Jane Alcantara Venzon, ARNP
• Stephanie Vergara
• Shivani Verma, M.D.
• Amy Hall Vernon, MSPT

• Child & Adolescent Psychiatry Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.