Active NPI
Travis Richard Venner, DPM
- Foot & Ankle Surgery Podiatrist
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 689
- Practice address
- 810 E 23Rd St
Sioux Falls, SD 57105-2135 - Phone
- (605) 331-5890
- Fax
- (605) 336-3974
- NPI assigned
- Mar 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 689 | MN | Primary |
Addresses
Primary practice location
810 E 23Rd St
Sioux Falls, SD 57105-2135
Mailing address
810 E 23Rd St
Sioux Falls, SD 57105-2135
Phone (605) 331-5890
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6800490 | Medicaid | SD | |
| 46030609213 | Medicaid | NE | |
| 0558742 | Medicaid | IA | |
| 8964009-00 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Duluth Clinic LTD
Practice addresses (Care Compare)
1101 9TH St N
Virginia, MN 55792-2329
Phone (218) 741-0150
1180 Chandler Dr
Spooner, WI 54801-2204
Phone (715) 635-2151
1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Phone (218) 786-5360
1615 Maple LN
Suite 1
Ashland, WI 54806-3630
Phone (715) 685-7500
819 Ash St
Spooner, WI 54801-1201
Phone (715) 635-5303
Hospital & facility affiliations
- Essentia Health Duluth
- Essentia Health St Mary'S Medical Center
- St Marys Hospital Superior
- Spooner Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 149 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00748 | IA | MD | Clinical Social Worker |
| 170 | SD | MD | Optometrist |
| 689 | MN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Pine Medical Center | Current | Accepting new patients | |
| St. Mary'S Hospital of Superior | Current | Accepting new patients | |
| Pine Medical Center | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| St. Mary'S Duluth Clinic Health System | Current | Accepting new patients | |
| St. Mary'S Hospital of Superior | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
1542 Golf Course Rd
Ste 204
Grand Rapids, MN 55744
Phone (218) 322-4900
45 Lady Luck Dr
Hinckley, MN 55037
Phone (320) 384-6166
705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211
1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000
603 9th St N
Virginia, MN 55792
Phone (218) 741-3013
1615 Maple Ln
Ste 1
Ashland, WI 54806
Phone (715) 685-7500
15495 County Road B
Hayward, WI 54843
Phone (715) 634-2641
1180 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2151
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457
Organizations & group practices 11
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.
-
- Critical Access Hospital
- Superior, WI
- NPI 1083657886
-
- Critical Access Hospital
- Sandstone, MN
- NPI 1326041633
-
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Rehabilitation Clinic/Center
- Duluth, MN
- NPI 1639237746
-
- Multi-Specialty Clinic/Center
- Hinckley, MN
- NPI 1720859531
-
- Clinical Medical Laboratory
- Superior, WI
- NPI 1205866928
-
- Critical Access Hospital Clinic/Center
- Superior, WI
- NPI 1588691588
-
- Multi-Specialty Clinic/Center
- Virginia, MN
- NPI 1538506894
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
-
- Multi-Specialty Clinic/Center
- Ashland, WI
- NPI 1215974357
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Spooner, WI
- NPI 1518982628
-
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
-
- Critical Access Hospital
- Superior, WI
- NPI 1083657886
-
- Critical Access Hospital Clinic/Center
- Superior, WI
- NPI 1588691588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1851351597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 E 23RD ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052135",
"telephone_number": "605-331-5890",
"fax_number": "605-336-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E 23RD ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052135",
"telephone_number": "605-331-5890",
"fax_number": "605-336-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENNER",
"first_name": "TRAVIS",
"middle_name": "RICHARD",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MN",
"license": "689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6800490",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46030609213",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0558742",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8964009-00",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.