SANGEETHA VENUGOPAL MD
NPI 1447651641
Internal Medicine - Hematology & Oncology in Miami, FL

Active since September 08, 2014PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1400 NW 12TH AVE, MIAMI, FL 33136(305) 243-1000 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Dec 20, 2022 (2 updates tracked since 2022).

About Sangeetha Venugopal Md NPPES

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

SANGEETHA VENUGOPAL MD (NPI 1447651641) is an individual hematology & oncology provider in Miami, Florida, licensed in Florida (ME157373) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1447651641
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSANGEETHA VENUGOPALCredential: MD
Location Address1400 NW 12TH AVEMiami, FL 33136-1003
Mailing Address1400 Nw 12th AveMiami, FL 33136-1003 · (305) 243-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 8, 2014
Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1447651641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in FL · ME157373
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.
1400 NW 12TH AVE, Miami, FL 33136

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sangeetha Venugopal 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 ID1759627136
PECOS Enrollment IDI20220915000104
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
184 services31 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.
140 services44 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.
63 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Breast Cancer Screening
17%30 patients1/55-star benchmark: 93%
Cervical Cancer Screening
8%40 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
12%66 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
78%40 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%616 patients4/55-star benchmark: 100%
e-Prescribing
98%123 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%81 patients5/55-star benchmark: 100%
HIV Screening
91%78 patients5/55-star benchmark: 60%
Oncology: Medical and Radiation - Pain Intensity Quantified
100%210 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
43%144 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
100%131 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
42%379 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 97% · 102 patients
96%102 patients
Provide Patients Electronic Access to Their Health Information
100%99 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 15% · 78 patients
Patients totalRate: 28% · 78 patients
32%78 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Orthopaedic Surgery
1400 NW 12TH AVE
MIAMI, FL 33136
Emergency Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Dentist (General Practice)
1400 NW 12TH AVE, SUITE 2005
MIAMI, FL 33136

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 Sangeetha Venugopal's NPI number?

The NPI number for Sangeetha Venugopal is 1447651641. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Where is Sangeetha Venugopal located?

Sangeetha Venugopal practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-1000.

What is Sangeetha Venugopal's specialty?

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

Is Sangeetha Venugopal enrolled in Medicare?

Yes. Sangeetha Venugopal 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.

What insurance does Sangeetha Venugopal accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Sangeetha Venugopal 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.

When was this NPI record last updated?

The NPPES record for Sangeetha Venugopal was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.