Venkat Vavilala, MD | |
90 W 86th Ave, Merrillville, IN 46410-7086 | |
(219) 791-1555 | |
(219) 791-1560 |
Full Name | Venkat Vavilala |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 32 Years |
Location | 90 W 86th Ave, Merrillville, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730186081 | NPI | - | NPPES |
200442790 | Medicaid | IN | |
000000285124 | Other | IN | ANTHEM BCBS NUMBER |
100082060 | Medicaid | IN | |
P0037143 | Other | IN | RR MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 01057614A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fmc - Crown Point | Crown point, IN | Dialysis facility |
Fmc - Merrillville Dialysis Center | Merrillville, IN | Dialysis facility |
Franciscan Health Crown Point | Crown point, IN | Hospital |
Franciscan Health Dyer | Dyer, IN | Hospital |
Franciscan Health Munster | Munster, IN | Hospital |
Community Hospital | Munster, IN | Hospital |
St Mary Medical Center Inc | Hobart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nephrology Associates Of Northern Indiana Pc | 8921033440 | 72 |
Entity Name | Nephrology Associates Of Northern Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578505814 PECOS PAC ID: 8921033440 Enrollment ID: O20051003000799 |
Entity Name | Nephrology Associates Of Northern Illinois Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20170705000259 |
Mailing Address | Practice Location Address |
---|---|
Venkat Vavilala, MD 120 W 22nd St, Oak Brook, IL 60523-1557 Ph: (630) 573-5000 | Venkat Vavilala, MD 90 W 86th Ave, Merrillville, IN 46410-7086 Ph: (219) 791-1555 |
Dr. Mihas Mamu Kodenchery, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5800 Broadway, Suite A-j, Merrillville, IN 46410 Phone: 219-884-9185 | |
Virginia Tan Tabib, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 8127 Merrillville Rd, Merrillville, IN 46410 Phone: 219-769-4855 Fax: 219-757-5629 | |
Dr. Mohammed Asgar, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 5490 Broadway Ste 106, Merrillville, IN 46410 Phone: 219-939-7130 Fax: 219-951-0883 | |
Gaurav Agarwal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6061 Broadway, Merrillville, IN 46410 Phone: 219-884-2640 Fax: 219-884-2810 | |
Larry R Brazley, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 255 E 90th Dr, W1, Merrillville, IN 46410 Phone: 219-791-0248 Fax: 219-791-0251 | |
Stephanie D Marshall, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8684 Connecticut St Ste A, Merrillville, IN 46410 Phone: 192-472-8990 Fax: 219-472-0270 | |
Kumar Venkatachalam, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8895 Broadway, Merrillville, IN 46410 Phone: 219-738-2081 Fax: 219-736-4658 |