Individual provider Active NPI

Venerando R. Del Mundo, MD

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1982630174
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
026332 Issued in LA
Practice address
8001 Youree Dr
Ste 550
Shreveport, LA 71115-2332
Phone
(318) 212-3681
Fax
(318) 212-3687
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 026332 LA Primary

Addresses

Primary practice location

8001 Youree Dr
Ste 550
Shreveport, LA 71115-2332

Mailing address

8001 Youree Dr
Ste 550
Shreveport, LA 71115-2332
Phone (318) 212-3681

Other practice location 1

2551 Greenwood Rd
Suite 320
Shreveport, LA 71103-3981
Phone (318) 212-3681

Other identifiers 1

IdentifierTypeStateIssuer
1578096MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040119000169 LA Practitioner - Internal Medicine 8426959891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

16260 Airline Hwy
Suite a
Prairieville, LA 70769-4271
Phone (225) 744-1111

Hospital & facility affiliations

  • Ochsner Medical Center - Baton Rouge Hospital, Baton Rouge, LA, CCN 190202
  • Ochsner Lsu Health Shreveport-St Mary Medical Cent Hospital, Shreveport, LA, CCN 190317

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026332LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Oct 28, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 28, 2024 Accepting new patients
Radiation Oncology Services Apmc Past Accepting new patients
WK South Hospitalists PastSince Jul 1, 2008 Accepting new patients
WK Pierremont Hospitalists Past Accepting new patients
Vererando R del Mundo MD and Willis-Knighton Medical Center Internal Medicine Past Accepting new patients

Locations

16260 Airline Hwy
Ste A
Prairieville, LA 70769
Phone (225) 744-1111

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: vdelmundo2371136@direct.ochsner.org
  • Direct secure messaging: vdelmundo@direct.wkhs.com

Organizations & group practices 6

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 2

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1982630174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "STE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152332",
            "telephone_number": "318-212-3681",
            "fax_number": "318-212-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "STE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152332",
            "telephone_number": "318-212-3681",
            "fax_number": "318-212-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2551 Greenwood Rd",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711033981",
            "country_code": "US",
            "telephone_number": "318-212-3681",
            "fax_number": "318-212-3687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL MUNDO",
        "first_name": "VENERANDO",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "026332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578096",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.