NPIMap

Individual provider Active NPI

Venugopal Kiran Vasireddy, MD

  • Internal Medicine Physician
  • Danville, VA
National Provider Identifier
1982651014
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101056050 Issued in VA
Practice address
1955 Memorial Dr
Danville, VA 24541-4712
Phone
(434) 799-2055
Fax
(434) 799-2044
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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 0101056050 VA Primary

Addresses

Primary practice location

1955 Memorial Dr
Danville, VA 24541-4712

Mailing address

1955 Memorial Dr
Danville, VA 24541-4712
Phone (434) 799-2055

Other identifiers 3

IdentifierTypeStateIssuer
005807328MedicaidVA
790583RMedicaidNC
282710OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070313000589 VA Practitioner - Internal Medicine 6204939150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danville Patient Care IncGroup PAC ID 2961505813, 2 clinicians

Practice addresses (Care Compare)

1955 Memorial Dr
Danville, VA 24541-4712
Phone (434) 799-2055

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Physician Practices LLC CurrentSince Jan 12, 2013 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Danville Physician Practices LLC Internal Medicine CurrentSince Jan 12, 2013 Accepting new patients

Locations

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

125 Executive Dr
Ste H
Danville, VA 24541
Phone (434) 791-1345

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1982651014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MEMORIAL DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414712",
            "telephone_number": "434-799-2055",
            "fax_number": "434-799-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MEMORIAL DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414712",
            "telephone_number": "434-799-2055",
            "fax_number": "434-799-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASIREDDY",
        "first_name": "VENUGOPAL",
        "middle_name": "KIRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101056050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005807328",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790583R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "282710",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.