Vikramaditya Reddy Samala Venkata, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18195 Issued in NH

Practice address

590 Court Street
Hospital Medicine
Keene, NH 03431-1719

Phone

(603) 354-5400

NPI assigned

Jun 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• 290 Hanover Street Operations LLC

  dba Elm Wood Center at Claremont

  • Skilled Nursing Facility
  • Claremont, NH
  • NPI 1396995056
  NPD (past)
• Apogee Medical Group Tennessee PC

  • General Practice Physician
  • Scottsdale, AZ
  • NPI 1578717682

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1902211659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 COURT STREET",
            "address_2": "HOSPITAL MEDICINE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311719",
            "telephone_number": "603-354-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COURT STREET",
            "address_2": "HOSPITAL MEDICINE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311719",
            "telephone_number": "603-354-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMALA VENKATA",
        "first_name": "VIKRAMADITYA REDDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042.0017569-COMP",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "18195",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "18195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Nicole Sabo
• Safe Travel Transportation LLC
• Rickie Saini, PAC
• Briana Saltstone, MD
• Louis Salzberg
• John Paul Sanders, MD
• Allyson Sanderson, CRNA
• Amber Sanderson
• Katherine L Sandman
• Kirk Sanger, RN, PHD

• Internal Medicine Physician in Keene, NH
• Providers in Keene, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.