VAMSI KRISHNA VENNAM DO
NPI 1679070569
Psychiatry & Neurology - Psychiatry in San Diego, CA
About Vamsi Krishna Vennam Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VAMSI KRISHNA VENNAM DO (NPI 1679070569) is an individual psychiatry provider in San Diego, California, licensed in California (20A19415) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2018).
NPPES Registry Identity
Specialties & Licenses
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
Vamsi Krishna Vennam Do 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 Vamsi Krishna Vennam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fresno, CA 93710
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Mark David Levine MD Professional Corporation
- 329 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92128
SAN DIEGO, CA 92128
SAN DIEGO, CA 92128
SAN DIEGO, CA 92128
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 Vamsi Krishna Vennam's NPI number?
The NPI number for Vamsi Krishna Vennam is 1679070569. It was assigned to this individual provider in the NPPES registry on April 9, 2018.
Where is Vamsi Krishna Vennam located?
Vamsi Krishna Vennam practices at 15373 Innovation Dr Ste 390, San Diego, CA 92128. The listed phone number is (858) 673-3360.
What is Vamsi Krishna Vennam's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Vamsi Krishna Vennam enrolled in Medicare?
Yes. Vamsi Krishna Vennam 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 Vamsi Krishna Vennam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vamsi Krishna Vennam reassigns Medicare benefits to Mark David Levine, MD Fresno (Fresno, CA). 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 Vamsi Krishna Vennam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Vamsi Krishna Vennam was last updated on May 1, 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.
# Vamsi Krishna Vennam, DO · NPI 1679070569
Psychiatry physician in San Diego, California. Individual provider, active in the CMS NPPES registry since April 9, 2018.
## Identity
- **NPI:** 1679070569 (Entity type: Individual)
- **Enumerated:** April 9, 2018
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 20A19415 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15373 INNOVATION DR STE 390, San Diego, CA 92128-3429
- **Phone:** (858) 673-3360
## 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:** Mark David Levine, MD Fresno (NPI 1124387097, Fresno, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Mem Univ, Debusk Col Of Osteopathic Med, class of 2018
## Record status
- **NPPES last updated:** May 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679070569) · Data from the CMS NPPES public registry.