Active NPI
Ramya Venigalla, DO
- Emergency Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO211186
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-7551
- Fax
- (503) 494-4997
- NPI assigned
- Jun 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5101022570 | MI | |
| Emergency Medicine Physician | 207P00000X | DO211186 | OR | Primary |
| Emergency Medicine Physician | 207P00000X | 036149535 | IL | |
| Emergency Medicine Physician | 207P00000X | 5101022570 | MI |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7551
Other practice location 1
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-6019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (360) 337-8800
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 838-9700
Hospital & facility affiliations
- St Francis Community Hospital
- St Michael Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101022570 | MI | MD | Emergency Medicine Physician |
| DO211186 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Observation Associates PC | Current | Accepting new patients | |
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
Locations
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711
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.
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Emergency Medicine Physician
- Silverdale, WA
- NPI 1568489243
-
- Internal Medicine Physician
- Federal Way, WA
- NPI 1023539376
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1982053567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7551",
"fax_number": "503-494-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7551",
"fax_number": "503-494-4997"
}
],
"practiceLocations": [
{
"address_1": "1000 Oakland Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490081282",
"country_code": "US",
"telephone_number": "269-337-6019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENIGALLA",
"first_name": "RAMYA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-06",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5101022570",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "DO211186",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036149535",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101022570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.