Active NPI
Venkateswara R Karuparthy, MD
- Anesthesiology Physician
- Rock Island, IL
National Provider Identifier
1891782553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34461
- Practice address
- 2508 25TH St Ste D
Rock Island, IL 61201-5419 - Phone
- (309) 762-7246
- Fax
- (309) 762-7242
- NPI assigned
- Sep 28, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34461 | IA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 34461 | IA |
Addresses
Primary practice location
2508 25TH St Ste D
Rock Island, IL 61201-5419
Mailing address
PO Box 850
Moline, IL 61266-0850
Phone (309) 762-9711
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44548 | Other | IA | WELLMARK BCBS |
| 2258764 | Medicaid | IA | |
| 0258764 | Medicaid | IA | |
| 92920 | Other | IA | BLUE SHIELD |
| 08132073 | Other | IL | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34461 | IA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wishard Anesthesia Group, LLC | Anesthesiology | Past | Accepting new patients |
| MD Anesthesia Services SC | Anesthesiology | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Kidney Care Quad Cities, LLC | Past | Accepting new patients |
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.
-
- Nephrology Physician
- Moline, IL
- NPI 1720227994
-
- Anesthesiology Physician
- Moline, IL
- NPI 1336128933
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1477505022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1891782553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850",
"city": "MOLINE",
"state": "IL",
"postal_code": "612660850",
"telephone_number": "309-762-9711",
"fax_number": "309-762-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 25TH ST STE D",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015419",
"telephone_number": "309-762-7246",
"fax_number": "309-762-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARUPARTHY",
"first_name": "VENKATESWARA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-28",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "34461",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IA",
"license": "34461",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "44548",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2258764",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0258764",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "92920",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "08132073",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.