RADIANT HEART INSTITUTE
NPI 1619108164
Clinic/Center - Medical Specialty in Victorville, CA

Active since July 31, 2009
17259 JASMINE ST, SUITE B, VICTORVILLE, CA 92395(760) 951-7778(760) 951-7760 Get Directions Write a Review

NPPES record last updated: July 31, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Radiant Heart Institute NPPES

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

RADIANT HEART INSTITUTE (NPI 1619108164) is a healthcare organization registered as a medical specialty in Victorville, California and active in the NPI registry since July 2009. The organization lists Venkat Devineni, Owner, as its authorized official.

NPPES Registry Identity

NPI1619108164
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameVENKAT DEVINENI, MD, INC
Location Address17259 JASMINE ST, SUITE BVictorville, CA 92395-7787
Mailing AddressPo Box 1537Victorville, CA 92393-1537 · (760) 951-7778
Fax(760) 951-7760
Organization SubpartNo
Authorized OfficialVenkat DevineniOwner · (760) 951-7778
Enumeration DateJuly 31, 2009
✔ NPI 1619108164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · A54340
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
17259 JASMINE ST, Victorville, CA 92395

Other Names 1

Doing Business AsRadiant Heart Institute

Other Identifiers 2

Medicare PIN00A543400CA
Medicaid00A543400CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radiant Heart Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Radiant Heart Institute, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1588650675
17259 JASMINE ST SUITE B
Victorville, CA 92395
(760) 951-7778
✔ PECOSSame address
Nurse Practitioner
NPI 1760924963
17259 JASMINE ST STE B
Victorville, CA 92395
(760) 241-4929
✔ PECOSSame address

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

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 Venkat Devineni, MD, Inc's NPI number?

The NPI number for Venkat Devineni, MD, Inc is 1619108164. It was assigned to this organization in the NPPES registry on July 31, 2009. The provider is doing business as Radiant Heart Institute.

Where is Venkat Devineni, MD, Inc located?

Venkat Devineni, MD, Inc is located at 17259 Jasmine St Suite B, Victorville, CA 92395. The listed phone number is (760) 951-7778.

What is Venkat Devineni, MD, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Venkat Devineni, MD, Inc enrolled in Medicare?

Yes. Venkat Devineni, MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Venkat Devineni, MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Venkat Devineni, MD, Inc, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Venkat Devineni, MD, Inc was last updated on July 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.