Individual provider Active NPI

Suneetha Venkatapuram, MD

  • Cardiovascular Disease Physician
  • Evansville, IN
National Provider Identifier
1811077357
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01078132A Issued in IN
Practice address
901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521
Phone
(812) 473-2642
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50156 KY
Internal Medicine Physician 207R00000X 01078132A IN
Cardiovascular Disease Physician 207RC0000X 50156 KY
Cardiovascular Disease Physician 207RC0000X 01078132A IN Primary

Addresses

Primary practice location

901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521

Mailing address

901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suneetha.venkatapuram.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170707002023 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517019565 Reassigns benefits to 2 organizations
I20170726004067 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517019565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Health IncGroup PAC ID 9133023898, 53 clinicians
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

100 St Marys Epworth Xing
Ascension St. Vincent Evansville
Newburgh, IN 47630-9497
Phone (812) 469-8175

14020 Old State Rd
Suite D100
Evansville, IN 47725-1164
Phone (812) 469-4470

3700 Washington Ave
Evansville, IN 47714-0541

3700 Washington Ave
Evansville, IN 47750-0001

901 Saint Marys Dr
Suite 300
Evansville, IN 47714-0521
Phone (812) 473-2642

914 N Elm St
Henderson, KY 42420-2711
Phone (812) 473-2642

Hospital & facility affiliations

  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Methodist Hospital Union County Hospital, Morganfield, KY, CCN 181306
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01078132AINMDInternal Medicine Physician
50156KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Health, Inc CurrentSince Nov 18, 2017 Accepting new patients
St Mary'S Medical Group, LLC Internal Medicine CurrentSince Jun 5, 2017 Accepting new patients
St Mary'S Medical Group, LLC Cardiovascular Disease CurrentSince Jun 5, 2017 Accepting new patients
St. Mary'S Health, Inc Internal Medicine CurrentSince Nov 18, 2017 Accepting new patients

Locations

5927 Reliable Pkwy
Chicago, IL 60686

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

901 Saint Marys Dr
Ste 300
Evansville, IN 47714
Phone (812) 485-7725

151 N Gardenmile Rd
Henderson, KY 42420
Phone (270) 830-9186

914 N Elm St
Henderson, KY 42420
Phone (270) 830-6651

2000 N Elm St
#2
Henderson, KY 42420
Phone (270) 831-6651

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1811077357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140521",
            "telephone_number": "812-473-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATAPURAM",
        "first_name": "SUNEETHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "50156",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01078132A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "50156",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01078132A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suneetha.venkatapuram.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "901 Saint Marys Dr Ste 300",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.