HEMA VENIGALLA MD
NPI 1386155661
Psychiatry & Neurology - Psychiatry in Scranton, PA
About Hema Venigalla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEMA VENIGALLA MD (NPI 1386155661) is an individual psychiatry provider in Scranton, Pennsylvania, licensed in Massachusetts (290213) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and maintains a secondary practice location in Burlington.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Hema Venigalla 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.
Medicare Billing Reassignment
Medicare enrollment records show Hema Venigalla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington, MA 01805
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1063447316 (Massachusetts)
- 1,574 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Hospital Corporation
Acute Care Hospitals · Beverly, MALahey Hospital & Medical Center, Burlington
Acute Care Hospitals · Burlington, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SCRANTON, PA 18503
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 Hema Venigalla's NPI number?
The NPI number for Hema Venigalla is 1386155661. It was assigned to this individual provider in the NPPES registry on October 13, 2017.
Where is Hema Venigalla located?
Hema Venigalla practices at 111 N Washington Ave, Scranton, PA 18503. The listed phone number is (570) 343-2383.
What is Hema Venigalla's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Hema Venigalla enrolled in Medicare?
Yes. Hema Venigalla 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 Hema Venigalla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hema Venigalla reassigns Medicare benefits to Lahey Clinic, Inc. (Burlington, MA). 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 Hema Venigalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hema Venigalla accept?
Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Hema Venigalla 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 Hema Venigalla affiliated with any hospitals?
According to CMS data, Hema Venigalla is affiliated with Northeast Hospital Corporation and Lahey Hospital & Medical Center, Burlington.
When was this NPI record last updated?
The NPPES record for Hema Venigalla was last updated on January 25, 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.
# Hema Venigalla, MD · NPI 1386155661
Psychiatry physician in Scranton, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 13, 2017.
## Identity
- **NPI:** 1386155661 (Entity type: Individual)
- **Enumerated:** October 13, 2017
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 290213 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 N WASHINGTON AVE, Scranton, PA 18503-1828
- **Phone:** (570) 343-2383
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lahey Clinic, Inc. (NPI 1538194980, Burlington, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1386155661) · Data from the CMS NPPES public registry.