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DR. VENU MADHAV KONALA MD
NPI 1164752952
Internal Medicine - Hematology & Oncology in Douglasville, GA

Active since December 30, 2009PECOS EnrolledAccepts Medicare Assignment
4586 TIMBER RIDGE DR STE 200, DOUGLASVILLE, GA 30135(770) 942-0457(770) 942-7699 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Venu Madhav Konala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VENU MADHAV KONALA MD (NPI 1164752952) is an individual hematology & oncology provider in Douglasville, Georgia, licensed in Kentucky (46646) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Wellstar Cobb Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1164752952
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. VENU MADHAV KONALACredential: MD
Location Address4586 TIMBER RIDGE DR STE 200Douglasville, GA 30135-7514
Mailing Address1835 Savoy Dr Ste 300Atlanta, GA 30341-1071 · (678) 288-9555 · Fax (678) 288-9556
Phone(770) 942-0457
Fax(770) 942-7699
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 30, 2009
Last NPPES UpdateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1164752952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in KY · 46646
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10043399 (TX), MT195043 (PA)
4586 TIMBER RIDGE DR STE 200, Douglasville, GA 30135
Open in Google Maps ↗

Other Identifiers 2

OtherG32296AGA · Medicare Ptan
Medicaid003268156AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Venu Madhav Konala Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224251012
PECOS Enrollment IDI20220616002475
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Venu Madhav Konala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nsh Cancer Institute Professional Services G, LLC
25 mi
Hematology & Oncology
1100 JOHNSON FERRY RD NE, SUITE 600
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 163 clinicians in this Medicare group
NPI 1124379284 (404) 851-6378

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
172 services72 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services61 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELISABETH JACKSON GAINES I PA-C
Physician Assistant
4586 TIMBER RIDGE DR STE 200
DOUGLASVILLE, GA 30135
Douglas County (770) 942-0457
MRS. ANALVIS CUESTA MSN, FNP
Nurse Practitioner
4586 TIMBER RIDGE DR STE 200
DOUGLASVILLE, GA 30135
Douglas County (786) 443-7926
DR. RACHEL LYNN KAYWOOD PHARMD
Pharmacist (Oncology)
4586 TIMBER RIDGE DR STE 200
DOUGLASVILLE, GA 30135
Douglas County (770) 942-0457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Venu Madhav Konala's NPI number?

The NPI number for Venu Madhav Konala is 1164752952. It was assigned to this individual provider in the NPPES registry on December 30, 2009.

Where is Venu Madhav Konala located?

Venu Madhav Konala practices at 4586 Timber Ridge Dr Ste 200, Douglasville, GA 30135. The listed phone number is (770) 942-0457.

What is Venu Madhav Konala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Venu Madhav Konala enrolled in Medicare?

Yes. Venu Madhav Konala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Venu Madhav Konala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Venu Madhav Konala reassigns Medicare benefits to Nsh Cancer Institute Professional Services G, LLC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Venu Madhav Konala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Venu Madhav Konala accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Venu Madhav Konala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Venu Madhav Konala affiliated with any hospitals?

According to CMS data, Venu Madhav Konala is affiliated with Wellstar Cobb Medical Center, Northside Hospital and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Venu Madhav Konala was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.