Individual provider Active NPI

Venkateshwer Rao Routhu, M.D.

  • Internal Medicine Physician
  • Canton, GA
National Provider Identifier
1982827671
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045944 Issued in GA
Practice address
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone
(770) 224-1000
Fax
(770) 224-2451
NPI assigned
Apr 11, 2007
Last updated
Jun 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000058021 TN
Internal Medicine Physician 207R00000X MD-44995 IA
Internal Medicine Physician 207R00000X 045944 GA Primary

Addresses

Primary practice location

450 Northside Cherokee Blvd
Canton, GA 30115-8015

Mailing address

905 Waterford LNDG
McDonough, GA 30253-7717
Phone (770) 957-0638

Other practice location 1

801 5th St
Sioux City, IA 51101-1326
Phone (712) 279-2010

Other practice location 2

1315 Milstead Rd NE
Conyers, GA 30012-8019
Phone (770) 922-5600

Other practice location 3

435 2nd St
Newport, TN 37821-3703
Phone (423) 625-2200

Other identifiers 1

IdentifierTypeStateIssuer
000870416AMedicaidGA

Other names 1

  • Dr. Venkat R Routhu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, IA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20111031000120 GA Practitioner - HospitalistPractitioner - Internal Medicine 0749453199 Reassigns benefits to 7 organizations
Practice locations: Conyers, GA
I20180711001017 AL Practitioner - Psychiatry 0749453199 Reassigns benefits to 1 organization
I20190625000201 IA Practitioner - Internal MedicinePractitioner - Hospitalist 0749453199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Regional Physicians Management Group, LLCGroup PAC ID 9032491956, 27 clinicians
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Covenant Medical Group LLCGroup PAC ID 4082969241, 17 clinicians

Practice addresses (Care Compare)

11 Upper Riverdale Rd SW
Women's Center
Riverdale, GA 30274-2615
Phone (770) 991-8000

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

483 Upper Riverdale Rd SW
Suite L
Riverdale, GA 30274-2579
Phone (770) 742-3883

535 Coliseum Dr
Macon, GA 31217-0104
Phone (239) 220-6601

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045944GAMDInternal Medicine Physician
MD0000058021TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Hospitalists Group, LLC CurrentSince May 2, 2016 Accepting new patients
Southern Regional Physicians Management Group, LLC CurrentSince Jan 30, 2025 Accepting new patients
Covenant Medical Group LLC CurrentSince Feb 1, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 15, 2021 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Aug 1, 2020 Accepting new patients
Sioux City Hospitalist Group, LLC CurrentSince Jan 25, 2023 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince May 2, 2016 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Gwinnett Physician Group, LLC Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Northern Alabama Physicians, LLP Current Accepting new patients
Houston Hospitalist Group LLC CurrentSince May 1, 2020 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Nov 11, 2018 Accepting new patients
Houston Hospitalist Group LLC Current Accepting new patients
Prime Healthcare Foundation - Southern Regional, LLC Past Accepting new patients
Gwinnett Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

483 Upper Riverdale Rd SW
Ste L
Riverdale, GA 30274
Phone (770) 742-3883

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1982827671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 WATERFORD LNDG",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537717",
            "telephone_number": "770-957-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NORTHSIDE CHEROKEE BLVD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158015",
            "telephone_number": "770-224-1000",
            "fax_number": "770-224-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 5th St",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511011326",
            "country_code": "US",
            "telephone_number": "712-279-2010",
            "fax_number": "712-279-2034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Milstead Rd NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300128019",
            "country_code": "US",
            "telephone_number": "770-922-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 2nd St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378213703",
            "country_code": "US",
            "telephone_number": "423-625-2200",
            "fax_number": "423-625-2215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUTHU",
        "first_name": "VENKATESHWER",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000058021",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-44995",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "045944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000870416A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENKAT",
            "last_name": "ROUTHU",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.