Individual provider Active NPI

Venkata Vijay K Anne, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Milwaukee, WI
National Provider Identifier
1972520823
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
45393 Issued in WI
Practice address
3201 S 16TH St
Suite 2015
Milwaukee, WI 53215-4537
Phone
(414) 649-3810
NPI assigned
Jul 16, 2006
Last updated
Aug 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 45393 WI Primary

Addresses

Primary practice location

3201 S 16TH St
Suite 2015
Milwaukee, WI 53215-4537

Mailing address

P.O. Box 070520
Milwaukee, WI 53207-0520
Phone (262) 240-0841

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
I20040216001057 WI Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2062307408 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45393WIMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Current Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Jan 1, 2017 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Jan 1, 2017 Accepting new patients
Greater Milwaukee Critical Care and Pulmonary Associates SC Critical Care Medicine CurrentSince Jul 1, 2008 Accepting new patients

Locations

4425 N Port Washington Rd
Glendale, WI 53212
Phone (414) 326-2218

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

3201 S 16th St
Ste 2015
Milwaukee, WI 53215
Phone (262) 240-0841

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1972520823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 070520",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532070520",
            "telephone_number": "262-240-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S 16TH ST",
            "address_2": "SUITE 2015",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154537",
            "telephone_number": "414-649-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNE",
        "first_name": "VENKATA VIJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "45393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.