Active NPI
Shridhar Ventrapragada, M.D.
- Otolaryngology Physician
- Highland, IN
National Provider Identifier
1992722797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01062767
- Practice address
- 2211 Main St Ste 1a
Highland, IN 46322-3514 - Phone
- (219) 836-9368
- Fax
- (219) 836-9357
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01062767 | IN | Primary |
Addresses
Primary practice location
2211 Main St Ste 1a
Highland, IN 46322-3514
Mailing address
2211 Main St Ste 1a
Highland, IN 46322-3514
Phone (219) 836-9368
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200840380 | Medicaid | IN | |
| 2142945 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070328000315 | IN | Practitioner - Otolaryngology | 5698791606 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Tulane University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Otolaryngology Associates of Northwest Indiana LLCGreat Lakes Healthcare Specialists LLC
Practice addresses (Care Compare)
2211 Main St
Suite 1a
Highland, IN 46322-3514
Phone (219) 836-9368
Hospital & facility affiliations
- Franciscan Health Dyer
- Franciscan Health Munster
- Franciscan Health Crown Point
- Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062767 | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology Associates of Northwest Indiana LLC | Otolaryngology | Current | Accepting new patients |
| Great Lakes Healthcare Specialists LLC | Current | Accepting new patients | |
| Lahey Clinic, Inc | Past | Accepting new patients | |
| Georgia Nasal & Sinus Institute, PC | Otolaryngology | Past | Accepting new patients |
Locations
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
2211 Main St
Ste 1A
Highland, IN 46322
Phone (219) 836-2201
900 Ridge Rd
Ste D
Munster, IN 46321
2802 Leonard Dr
Valparaiso, IN 46383
Phone (219) 531-0355
Interoperability endpoints
- sventrapragada67363@direct.franciscanalliance.org
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Highland, IN
- NPI 1467851139
IN
-
- Audiologist
- Highland, IN
- NPI 1124782842
IN, Otolaryngology
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1992722797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 MAIN ST STE 1A",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463223514",
"telephone_number": "219-836-9368",
"fax_number": "219-836-9357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 MAIN ST STE 1A",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463223514",
"telephone_number": "219-836-9368",
"fax_number": "219-836-9357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTRAPRAGADA",
"first_name": "SHRIDHAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01062767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200840380",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2142945",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.