Active NPI
Venu Vadlamudi, M.D.
- Diagnostic Radiology Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 72704
- Practice address
- 100 Navarre PL Ste 5500
South Bend, IN 46601-1172 - Phone
- (574) 647-5200
- Fax
- (574) 647-5210
- NPI assigned
- Jun 27, 2007
- 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 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | C2086 | KY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | U7369 | TX | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301090594 | MI | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 01087961A | IN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 72704 | CT | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 0101255868 | VA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 58985 | TN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | D0093992 | MD | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 036.167487 | IL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 295371 | MA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 71773 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | 72704 | CT | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 26716 | MS | |
| Vascular & Interventional Radiology Physician | 2085R0204X | E-112315 | AR |
Addresses
Primary practice location
100 Navarre PL Ste 5500
South Bend, IN 46601-1172
Mailing address
65 N Farms Rd
Avon, CT 06001-3018
Phone (703) 888-8130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, IN, MD, KY, CT, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Navarre PL
5500 BMG Interventional Radiology
South Bend, IN 46601-1172
Phone (574) 647-5200
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000
615 N Michigan St
South Bend, IN 46601-1033
615 N Michigan St FL
South Bend, IN 46601-1033
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72704 | CT | MD | Diagnostic Radiology Physician |
| E-112315 | AR | MD | Vascular & Interventional Radiology Physician |
| 71773 | AZ | MD | Vascular & Interventional Radiology Physician |
| 036.167487 | IL | MD | Vascular & Interventional Radiology Physician |
| 295371 | MA | MD | Vascular & Interventional Radiology Physician |
| 0101255868 | VA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Vascular & Interventional Radiology | Current | Accepting new patients |
| Northern Virginia Radiology Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Concord Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Diagnostic Radiology | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Advanced Imaging Specialists, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Medstar Medical Group Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
100 Navarre Pl
Ste 5500
South Bend, IN 46601
Phone (574) 647-5200
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090
575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237
1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
1215 Lee St
Fl 1
Charlottesville, VA 22908
Phone (434) 924-9400
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- vvadlamudi3326691@direct.trinity-health.org
Organizations & group practices 19
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.
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Diagnostic Radiology Physician
- Hartford, CT
- NPI 1689429078
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1326450156
MD, VA
-
- Diagnostic Radiology Physician
- Arlington, VA
- NPI 1942463625
DC
-
- Diagnostic Radiology Physician
- Norwalk, CT
- NPI 1760087027
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Diagnostic Radiology Physician
- Alexandria, VA
- NPI 1013935709
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- Psychiatric Hospital Unit
- Stafford Springs, CT
- NPI 1053480293
-
- General Acute Care Hospital
- Stafford Springs, CT
- NPI 1932123569
-
- General Acute Care Hospital
- Stafford Springs, CT
- NPI 1972728442
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1952508699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 N FARMS RD",
"city": "AVON",
"state": "CT",
"postal_code": "060013018",
"telephone_number": "703-888-8130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NAVARRE PL STE 5500",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011172",
"telephone_number": "574-647-5200",
"fax_number": "574-647-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADLAMUDI",
"first_name": "VENU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "KY",
"license": "C2086",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "U7369",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301090594",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": "01087961A",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CT",
"license": "72704",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "VA",
"license": "0101255868",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TN",
"license": "58985",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MD",
"license": "D0093992",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036.167487",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MA",
"license": "295371",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AZ",
"license": "71773",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "72704",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MS",
"license": "26716",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AR",
"license": "E-112315",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.
- 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.