BOOTHAPURI VENKATESH (NPI# 1023093259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023093259 |
| Entity Type | Individual |
| Full Name | BOOTHAPURI VENKATESH |
| Credential | MD |
| Practice Address |
202 10th St Se Suite 225 Cedar Rapids IA 52403-2404 |
| Practice Telephone | 3193647101 |
| Practice Fax Number | 3193631993 |
| Mailing Telephone | 3193647101 |
| Mailing Fax Number | 3193631993 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2013-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
34555 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RR MEDICARE | P00817974 | 01 |
| IA | 1023093259 | 05 |
| Street Address |
202 10TH ST SE SUITE 225 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045600 | Hugh Philip Macmenamin | Orthopaedic Surgery | 202 10th St Se, Cedar Rapids, IA 52403-2404 | 2005-07-01 |
| 1598304065 | Justin Kreiter | Physical Therapist | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2020-01-02 |
| 1346889813 | Elizabeth Brown | Physical Therapist | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2020-01-02 |
| 1922666585 | Courtney M Lansing | Audiologist | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2019-05-30 |
| 1740745538 | Annette Keller Qualben | Registered Nurse | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2019-02-05 |
| 1790256048 | Jenny Lynn Botsford | Nurse Practitioner | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2018-12-16 |
| 1790288397 | Amber Arthurs | Nurse Practitioner | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2018-03-10 |
| 1033645189 | Mina Soleimani | Family Medicine | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2017-05-11 |
| 1962934877 | Pruchno Medicine LLC. / Health Transitions Clinic | Dietary Manager | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2017-03-30 |
| 1871034686 | Brandey Cordes | Audiologist | 202 10th St Se, Suite 200, Cedar Rapids, IA 52403-2414 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508819012 | Cardiologists, P.C. | Internal Medicine | 1002 4th Ave Se, Cedar Rapids, IA 52403-2425 | 2006-05-18 |
| 1841603172 | Rohan Penmetcha | Internal Medicine | 788 8th Avenue Se, Suite 400, Cedar Rapids, IA 52401 | 2014-06-04 |
| 1700132727 | Aref A Bin Abdulhak | Internal Medicine | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2012-07-27 |
| 1063748002 | Cardiologists Lc | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2404 | 2009-10-27 |
| 1871791210 | Weiwei Li | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2414 | 2007-07-06 |
| 1619175114 | Georges P. Hajj | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2414 | 2007-07-05 |
| 1972729960 | David S. Glassman | Internal Medicine | 788 8th Ave Se, Suite 400, Cedar Rapids, IA 52401-2107 | 2007-04-18 |
| 1598788002 | Michael S Chandra | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2404 | 2006-07-25 |
| 1588692818 | Matthew J Mcmahon | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2404 | 2006-06-28 |
| 1922042894 | Richard T Kettelkamp | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2404 | 2006-06-15 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on BOOTHAPURI VENKATESH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.