Individual provider Active NPI

Venelin Kounev, MD

  • Gastroenterology Physician
  • Cudahy, WI
National Provider Identifier
1902979750
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
45541 Issued in WI
Practice address
3501 E Ramsey Ave
Cudahy, WI 53110-3009
Phone
(262) 243-2500
Fax
(262) 243-5395
NPI assigned
Nov 16, 2006
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 45541 WI Primary

Addresses

Primary practice location

3501 E Ramsey Ave
Cudahy, WI 53110-3009

Mailing address

788 N Jefferson St Ste 300
Milwaukee, WI 53202-3710
Phone (414) 226-4025

Other practice location 1

2350 N Lake Dr Ste 501
Milwaukee, WI 53211-4528
Phone (414) 226-4020

Other practice location 2

13133 N Port Washington Rd Ste G16
Mequon, WI 53097-2423
Phone (262) 243-2500

Other identifiers 1

IdentifierTypeStateIssuer
1902979750MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20080116000250 WI Practitioner - GastroenterologyPractitioner - Internal Medicine 8921189937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Medical Affiliates IncGroup PAC ID 5991606337, 86 clinicians

Practice addresses (Care Compare)

3501 E Ramsey Ave
Cudahy, WI 53110-3009
Phone (414) 647-7170

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61
Upper gastrointestinal (GI) endoscopy for acid reflux88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45541WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Madison Medical Affiliates, Inc. CurrentSince Jan 16, 2019 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jan 1, 2008 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc PastSince Jan 16, 2019 Accepting new patients

Locations

7423 Solutions Ctr
Chicago, IL 60677

3501 E Ramsey Ave
Cudahy, WI 53110
Phone (414) 647-7170

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080

13133 N Port Washington Rd
Ste G16
Mequon, WI 53097
Phone (262) 243-2500

2350 N Lake Dr
Ste 501
Milwaukee, WI 53211
Phone (414) 226-4020

788 N Jefferson St
Ste 300
Milwaukee, WI 53202
Phone (414) 272-8950

788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020

Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122

4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 4

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1902979750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 N JEFFERSON ST STE 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023710",
            "telephone_number": "414-226-4025",
            "fax_number": "414-274-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 E RAMSEY AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103009",
            "telephone_number": "262-243-2500",
            "fax_number": "262-243-5395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 N Lake Dr Ste 501",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532114528",
            "country_code": "US",
            "telephone_number": "414-226-4020",
            "fax_number": "414-662-2507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13133 N Port Washington Rd Ste G16",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530972423",
            "country_code": "US",
            "telephone_number": "262-243-2500",
            "fax_number": "262-243-5395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUNEV",
        "first_name": "VENELIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "45541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902979750",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cudahy, WI

Sources for this page

Verify at the official NPI Registry.