V R Kolli, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

J5805 Issued in TX

Practice address

Suite 4a 1250 E. Cliff Dr.
El Paso, TX 79902

Phone

(915) 541-7000

Fax

(915) 541-7002

NPI assigned

Aug 22, 2005

Last updated

Mar 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Venkat R Kolli Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: venkateswara.kolli.1@17458.direct.athenahealth.com
• Direct secure messaging: venkateswara.kolli@direct.myhealthep.org

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1780676197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E. CLIFF DR.",
            "address_2": "SUITE 4A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024846",
            "telephone_number": "915-541-7000",
            "fax_number": "915-541-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 4A 1250 E. CLIFF DR.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-541-7000",
            "fax_number": "915-541-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLI",
        "first_name": "V",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J5805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119036501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENKAT",
            "last_name": "KOLLI",
            "middle_name": "R",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maanit Kohli, M.D
• Roy E Kohn IV, DPT
• Sandrine Kojidie, PHARM.D
• Victor A Kolade, PHARMD
• Zahra Kolahchi, MD
• Babu Kolluri
• Andrew Joseph Koltun, MD
• Ramesh Komaragiri, M.D.
• Enrique Konstat Korzenny, MD
• Stephen Henry Koopmeiners, MD

• Gastroenterology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.