Individual provider Active NPI

Kiran Sethi Venincasa, M.D.

  • Surgery Physician
  • Irving, TX
National Provider Identifier
1821477274
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T0031 Issued in TX
Practice address
2001 N Macarthur Blvd Ste 700
Irving, TX 75061-2204
Phone
(469) 800-1300
NPI assigned
May 19, 2015
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T0031 TX Primary

Addresses

Primary practice location

2001 N Macarthur Blvd Ste 700
Irving, TX 75061-2204

Mailing address

4450 Tubbs Rd
Rockwall, TX 75032-6308
Phone (972) 722-3290

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
I20210920000096 TX Practitioner - General Surgery 7315241866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1901 N Macarthur Blvd
Irving, TX 75061-2220
Phone (972) 579-8485

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0031TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 21, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 21, 2024 Accepting new patients
Healthtexas Provider Network Surgery Current Accepting new patients
Lakeside Surgery PA Surgery CurrentSince Aug 24, 2021 Accepting new patients

Locations

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4450 Tubbs Rd
Rockwall, TX 75032
Phone (214) 775-1356

7700 Lakeview Pkwy
Ste 300B
Rowlett, TX 75088
Phone (972) 272-4463

Interoperability endpoints

  • Direct secure messaging: kiran.venincasa.p1@direct.lakesidesurgerypa.nextgenshare.com
  • Direct secure messaging: kvenincasa902815@direct.sw.org

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 2

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1821477274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 TUBBS RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326308",
            "telephone_number": "972-722-3290",
            "fax_number": "469-402-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N MACARTHUR BLVD STE 700",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612204",
            "telephone_number": "469-800-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENINCASA",
        "first_name": "KIRAN",
        "middle_name": "SETHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T0031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.