Individual provider Active NPI

Eric J Venegas, M.D

  • Obstetrics & Gynecology Physician
  • Midland, TX
National Provider Identifier
1760485502
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K7934 Issued in TX
Practice address
5007 Portico Way
Midland, TX 79707
Phone
(432) 570-1113
Fax
(432) 570-4260
NPI assigned
May 24, 2005
Reactivated
Apr 5, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K7934 TX
Obstetrics & Gynecology Physician 207V00000X K7934 TX Primary

Addresses

Primary practice location

5007 Portico Way
Midland, TX 79707

Mailing address

5007 Portico Way
Midland, TX 79707-3102
Phone (432) 570-1113

Other identifiers 3

IdentifierTypeStateIssuer
TH003OtherTXFIRSTCARE
144105701MedicaidTX
0052GVOtherTXBLUE CROSS BLUE SHIELD OF TEXAS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040920000994 TX Practitioner - Obstetrics/Gynecology 5597733303 Reassigns benefits to 1 organization
Practice locations: Midland, TX

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

5007 Portico Way
Midland, TX 79707-3102
Phone (432) 570-1113

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7934TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Randall Burt MD PA Specialist Current Accepting new patients
Steven R. Macdonald, M.D., P.a. Specialist Current Accepting new patients
Unified Women's Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2025 Accepting new patients
Midland County Hospital District Past Accepting new patients

Locations

2500 W Illinois Ave
#100
Midland, TX 79701
Phone (432) 217-8440

5007 Portico Way
Midland, TX 79707
Phone (432) 570-1113

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

Organizations & group practices 4

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1760485502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 PORTICO WAY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073102",
            "telephone_number": "432-570-1113",
            "fax_number": "432-570-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 PORTICO WAY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79707",
            "telephone_number": "432-570-1113",
            "fax_number": "432-570-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEGAS",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K7934",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K7934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "TH003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144105701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "0052GV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.