Individual provider Active NPI

Venu Vemuri, DO

  • Orthopaedic Surgery of the Spine Physician
  • Louisville, KY
National Provider Identifier
1972637866
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
03034 Issued in KY
Practice address
6420 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3372
Phone
(502) 242-6370
Fax
(502) 242-6540
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 03034 KY Primary

Addresses

Primary practice location

6420 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3372

Mailing address

6420 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3372
Phone (502) 242-6370

Other practice location 1

4130 Dutchmans Ln
Ste 300
Louisville, KY 40207-4713
Phone (502) 897-1794

Other identifiers 4

IdentifierTypeStateIssuer
200869170AMedicaidIN
000000529332OtherKYANTHEM / SPINE INSTITUTE
000000530348OtherKYANTHEM / UNIV ORTHO ASSOC
7100027110MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070920000218 KY Practitioner - Orthopedic Surgery 3971533100 Reassigns benefits to 1 organization
I20140515002270 IN Practitioner - Orthopedic Surgery 3971533100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Missouri Ave
Suite a
Jeffersonville, IN 47130-3014
Phone (502) 242-6370

6420 Dutchmans Pkwy
Suite 160
Louisville, KY 40205-3353
Phone (502) 242-6370

Hospital & facility affiliations

  • Schneck Medical Center Hospital, Seymour, IN, CCN 150065
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion71
Laminectomy or laminotomy (partial removal of spine bones)31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03034KYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miispine CurrentSince Dec 1, 2020 Accepting new patients
Major Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

200 Missouri Ave
Bldg 18
Jeffersonvlle, IN 47130
Phone (502) 552-5221

200 Missouri Ave
Ste A
Jeffersonvlle, IN 47130
Phone (502) 242-6370

6420 Dutchmans Pkwy
Ste 160
Louisville, KY 40205
Phone (502) 242-6370

6420 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone (502) 242-6370

Organizations & group practices 3

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1972637866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-242-6370",
            "fax_number": "502-242-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-242-6370",
            "fax_number": "502-242-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Dutchmans Ln",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074713",
            "country_code": "US",
            "telephone_number": "502-897-1794",
            "fax_number": "502-897-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEMURI",
        "first_name": "VENU",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KY",
            "license": "03034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200869170A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM / SPINE INSTITUTE",
            "identifier": "000000529332",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM / UNIV ORTHO ASSOC",
            "identifier": "000000530348",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100027110",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.