MELISSA VENERACION M.D.
NPI 1427251131
Anesthesiology - Pediatric Anesthesiology in Louisville, KY
NPI Status: Active since June 08, 2007
Contact Information
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 629-6000
Fax: (502) 451-4553
- Individual
- Female
- Anesthesiology
- Pediatric Anesthesiology
- Accepts Insurance
- PECOS Enrolled
About MELISSA VENERACION
This page provides the complete NPI Profile along with additional information for Melissa Veneracion, a provider established in Louisville, Kentucky with a medical specialization in Anesthesiology, focusing in pediatric anesthesiology . The healthcare provider is registered in the NPI registry with number 1427251131 assigned on June 2007. The practitioner's primary taxonomy code is 207LP3000X with license number 45649 (KY). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1427251131
- Provider Name
- MELISSA VENERACION M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 231 E CHESTNUT ST LOUISVILLE, KY 40202
- Location Phone
- (502) 629-6000
- Location Fax
- (502) 451-4553
- Mailing Address
- PO BOX 740041 LOUISVILLE, KY 40201
- Mailing Phone
- (502) 451-9949
- Mailing Fax
- (502) 451-4553
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-08-2007
- Last Update Date
- 03-26-2024
- Code Navigator
Location Map
Secondary Locations
- 1 Childrens Way # 512-1
Little Rock, AR 72202
(501) 364-1479
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology Pediatric Anesthesiology
- Taxonomy Code
- 207LP3000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 45649
- License State
- KY
- Taxonomy Description
- An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | E-17562 (AR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Exp Standardized - PPO
- Bronze Value - PPO
- Gold Standardized - PPO
- Silver AH - PPO
- Silver Standardized - PPO
- Silver Value - PPO
- Dental Gold - PPO
- Dental Gold Plus Vision - PPO
- Dental Pediatric - PPO
- Dental Platinum - PPO
- Dental Platinum Plus Vision - PPO
- Dental Platinum Premium - PPO
- Dental Platinum Premium Plus Vision - PPO
- Dental Silver - PPO
- HA Bronze Exp Standardized - POS
- HA Bronze Suitcase - POS
- HA Gold Standardized - POS
- HA Silver AH - POS
- HA Silver Premier Suitcase - POS
- HA Silver Standardized - POS
- Octave Bronze Exp Standardized - POS
- Octave Bronze Value - POS
- Octave Gold Standardized - POS
- Octave Silver AH - POS
- Octave Silver Classic Suitcase - POS
- Octave Silver Standardized - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Melissa Veneracion is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 40202 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.77
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $30.69
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.24
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $16.56
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MELISSA VENERACION M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 2 | 5 | 1 | 1 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 4 | 5 | 2 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 4 + 5 + 2 + 1 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1427251131 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. MOLLY B HASTY MD
Pediatrics
(Pediatric Emergency Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
KAREN A WATERS MD PHD
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
MARY ELIZABETH LACHER MD
Pediatrics
(Pediatric Emergency Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
DR. JOSHUA TRAVIS HONAKER M.D.
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
DR. REVATHY RAJU MD
Anesthesiology
231 E CHESTNUT ST
KOSAIR CHILDRENS HOSPITAL
LOUISVILLE, KY
ZIP 40202
DR. DAVID M SMALL MD
Anesthesiology
231 E CHESTNUT ST
KOSAIR CHILDRENS HOSPITAL
LOUISVILLE, KY
ZIP 40202
UNIVERSITY PEDIATRICS FOUNDATION, INC.
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
PEDIATRIC RADIOLOGY ASSOCIATES, PSC
Radiology
(Pediatric Radiology)
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
DR. RICHARD FELLOWS MD
Radiology
(Pediatric Radiology)
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
KAREN C WENTWORTH CRNA
Nurse Anesthetist, Certified Registered
231 E CHESTNUT ST
KOSAIR CHILDRENS HOSPITAL
LOUISVILLE, KY
ZIP 40202
DR. BERNADETTE VEZA EATON M.D.
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
MRS. BLAIRE ADAMS ARNP
Nurse Practitioner
(Family)
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
THERESA A CROW CRNA
Nurse Anesthetist, Certified Registered
231 E CHESTNUT ST
KOSAIR CHILDRENS HOSPITAL
LOUISVILLE, KY
ZIP 40202
UNIVERSITY OF LOUISVILLE PHYSICIANS
Pediatrics
(Pediatric Critical Care Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
UNIVERSITY OF LOUISVILLE PHYSICIANS
Pediatrics
(Child Abuse Pediatrics)
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
UNIVERSITY OF LOUISVILLE PHYSICIANS
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
Pediatrics
(Pediatric Critical Care Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
Pediatrics
(Pediatric Emergency Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Pediatrics
(Pediatric Critical Care Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
SETH ALLEN BROWN M.D.
Pediatrics
(Pediatric Emergency Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427251131, enumerated as an "individual" on June 08, 2007.
The provider is located at 231 E CHESTNUT ST LOUISVILLE, KY 40202 and the phone number is (502) 629-6000.
Anesthesiology with taxonomy code 207LP3000X and a focus in Pediatric Anesthesiology.
The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.
