PRAVEEN VENIGALLA
NPI 1528352598
Internal Medicine - Cardiovascular Disease in Lafayette, IN

Q: What is Praveen Venigalla's NPI number?

The NPI number for Praveen Venigalla is 1528352598. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Q: What is Praveen Venigalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Praveen Venigalla was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment

3900 ST FRANCIS WAY STE 200, LAFAYETTE, IN 47905(765) 775-2800(765) 775-2831 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 17, 2026, Jul 1, 2024, Oct 24, 2022 and 11 more (14 updates tracked since 2017).

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About Praveen Venigalla NPPES

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

PRAVEEN VENIGALLA (NPI 1528352598) is an individual cardiovascular disease provider in Lafayette, Indiana, licensed in Indiana (01092317A) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Crawfordsville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528352598

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NamePRAVEEN VENIGALLA

Location Address3900 ST FRANCIS WAY STE 200Lafayette, IN 47905-4940

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(765) 775-2800

Fax(765) 775-2831

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 7, 2011

Last NPPES UpdateMarch 17, 202614 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1528352598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IN · 01092317A

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01092317A (IN), 2017-00547 (NC)

Also ListedHospitalistTaxonomy 208M00000X · License 52426 (SC)

3900 ST FRANCIS WAY STE 200, Lafayette, IN 47905

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Secondary Practice Locations 2

Location 1129 N Washington StSumter, SC 29150-4949 · Phone (803) 434-6771 · Fax (803) 434-3955

Location 2500 Jefferson StWhiteville, NC 28472-3634 · Phone (910) 642-1776

Other Identifiers 1

MedicaidNC3370SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource.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

Praveen Venigalla 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 ID6103125232

PECOS Enrollment IDI20240528001587

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 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.

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.

208 services105 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

110 services104 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

41 services29 patients

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.

23 services23 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.

19 services19 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Franciscan Health Crawfordsville

Acute Care Hospitals · Crawfordsville, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150022

Location1710 Lafayette RdCrawfordsville, IN 47933 · Montgomery County

Emergency services

Memorial Hospital

Acute Care Hospitals · Logansport, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150072

Location1101 Michigan AveLogansport, IN 46947 · Cass County

Emergency services Birthing friendly

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150109

Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Franciscan Health Rensselaer, Inc

Critical Access Hospitals · Rensselaer, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151324

Location1104 E Grace StRensselaer, IN 47978 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%130 patients5/55-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.

MICHAEL LEO HOGAN M.D.

Internal Medicine (Cardiovascular Disease)