VENUGOPAL POLASANI (NPI# 1083786917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083786917 |
| Entity Type | Individual |
| Full Name | VENUGOPAL POLASANI |
| Credential | MD |
| Practice Address |
1400 W Park St Urbana IL 61801-2334 |
| Mailing Address |
Po Box 532912 Atlanta GA 30353-2912 |
| Practice Telephone | 2173372000 |
| Mailing Telephone | 2173372000 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 1032044 | 01 |
| IL | RR MEDICARE GROUP | DA5283 | 01 |
| IL | RR MEDICARE | P00051600 | 01 |
| IL | 36056262 | 05 |
| Street Address |
1400 W PARK ST |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801862461 | Shamim Sadiq | Internal Medicine | 1400 W Park St, Urbana, IL 61801-2334 | 2006-02-24 |
| 1548873938 | Audra Leigh Cisna | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801-2334 | 2020-08-26 |
| 1689200750 | Holly Tompkins | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801-2334 | 2020-03-20 |
| 1417419045 | Latifa Omran | Technician/Technologist | 1400 W Park St, Urbana, IL 61801-2334 | 2019-04-02 |
| 1588134084 | Lauren Dowd | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801 | 2018-11-28 |
| 1053801514 | Sarah Kristine Farison | Speech-Language Pathologist | 1400 W Park St, Urbana, IL 61801-2334 | 2018-05-10 |
| 1316437882 | Tian Lan | Physical Therapist | 1400 W Park St, Urbana, IL 61801-2334 | 2018-05-10 |
| 1659884476 | Osf Healthcare System | General Acute Care Hospital | 1400 W Park St, Urbana, IL 61801 | 2017-11-15 |
| 1093228835 | Osf Healthcare System | Ambulance | 1400 W Park St, Urbana, IL 61801 | 2017-11-15 |
| 1649783473 | Osf Healthcare System | General Acute Care Hospital | 1400 W Park St, Urbana, IL 61801 | 2017-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730141524 | John Sudkamp | Anesthesiology | 602 West University Ave, Urbana, IL 61801 | 2006-04-05 |
| 1528565751 | Prachi Patel | Anesthesiology | 611 W Park St, Urbana, IL 61801-2529 | 2018-04-13 |
| 1285053561 | James G Jonna II | Anesthesiology | 611 W. Park St., Urbana, IL 61801 | 2014-04-15 |
| 1134566615 | Crawford Avenue Anesthesia Provider Services Urbana, LLC | Anesthesiology | 1400 W Park St, Urbana, IL 61801-2334 | 2013-05-24 |
| 1609030428 | Alexia M. Beccue | Anesthesiology | 611 W Park St, Urbana, IL 61801-2529 | 2008-07-10 |
| 1578720678 | Kenyon Duncan | Anesthesiology | 611 W Park St, Urbana, IL 61801-2500 | 2008-05-18 |
| 1316139199 | Jarrod N Almaroad | Anesthesiology | 611 W. Park St., Anesthesiology, Urbana, IL 61801-2500 | 2007-08-15 |
| 1497816904 | R.k. Sunkara | Anesthesiology | 1400 W Park St, Urbana, IL 61801-2334 | 2006-12-12 |
| 1932271863 | Peter Schlake | Anesthesiology | 1400 W Park St, Urbana, IL 61801-2334 | 2006-11-15 |
| 1043399967 | Jennifer Ann Hickman | Anesthesiology | 611 W. Park St., Urbana, IL 61801-2500 | 2006-11-02 |
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| 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.