Organization Active NPI

Venkatesh Movva MD PLLC

  • Pain Medicine Physician
  • Tulsa, OK
National Provider Identifier
1831115088
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
20519 Issued in OK
Legal business name
VENKATESH MOVVA MD PLLC
Practice address
6565 S Yale Ave
#212
Tulsa, OK 74136
Phone
(918) 502-4000
Fax
(918) 502-4001
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Venkatesh Movva, MD
Title
Owner
Phone
(918) 502-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 20519 OK Primary

Addresses

Primary practice location

6565 S Yale Ave
#212
Tulsa, OK 74136

Mailing address

PO Box 21568
Tulsa, OK 74121-1568
Phone (918) 502-4000

Other identifiers 2

IdentifierTypeStateIssuer
7999176OtherOKAETNA
103863500OtherOKSTATE OF OK WC

National Provider Directory

National Provider Directory

Locations

6565 S Yale Ave
Ste 212
Tulsa, OK 74136
Phone (918) 491-5950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1831115088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21568",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211568",
            "telephone_number": "918-502-4000",
            "fax_number": "918-502-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE",
            "address_2": "#212",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-502-4000",
            "fax_number": "918-502-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENKATESH MOVVA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MOVVA",
        "authorized_official_first_name": "VENKATESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-502-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OK",
            "license": "20519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7999176",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OK WC",
            "identifier": "103863500",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.