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DR. VENELIN KOUNEV MD
NPI 1902979750
Internal Medicine - Gastroenterology in Cudahy, WI

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
3501 E RAMSEY AVE, CUDAHY, WI 53110(262) 243-2500(262) 243-5395 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 7, 2024, Aug 7, 2024, Mar 2, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Venelin Kounev Md NPPES

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

DR. VENELIN KOUNEV MD (NPI 1902979750) is an individual gastroenterology provider in Cudahy, Wisconsin, licensed in Wisconsin (45541) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902979750
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. VENELIN KOUNEVCredential: MD
Location Address3501 E RAMSEY AVECudahy, WI 53110-3009
Mailing Address788 N Jefferson St Ste 300Milwaukee, WI 53202-3710 · (414) 226-4025 · Fax (414) 274-6250
Phone(262) 243-2500
Fax(262) 243-5395
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 16, 2006
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1902979750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WI · 45541
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3501 E RAMSEY AVE, Cudahy, WI 53110
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12350 N Lake Dr Ste 501Milwaukee, WI 53211-4528 · Phone (414) 226-4020 · Fax (414) 662-2507
Location 213133 N Port Washington Rd Ste G16Mequon, WI 53097-2423 · Phone (262) 243-2500 · Fax (262) 243-5395

Other Identifiers 1

Medicaid1902979750WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Dr. Venelin Kounev 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 ID8921189937
PECOS Enrollment IDI20080116000250
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 10

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
78 services78 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
60 services53 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
55 services55 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.
50 services44 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services22 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53110 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 3

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

KRISTIE MARIE KONEY APNP
Nurse Practitioner (Family)
3501 E RAMSEY AVE
CUDAHY, WI 53110
Milwaukee County (414) 769-6600
ELLAYNA DZENZEOL APNP, FNP-C
Nurse Practitioner (Family)
3501 E RAMSEY AVE
CUDAHY, WI 53110
Milwaukee County (414) 769-6600
LAUREN ANN ACKERMAN PA-C
Physician Assistant
3501 E RAMSEY AVE
CUDAHY, WI 53110
Milwaukee County (414) 647-7170

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 Venelin Kounev's NPI number?

The NPI number for Venelin Kounev is 1902979750. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Venelin Kounev located?

Venelin Kounev practices at 3501 E Ramsey Ave, Cudahy, WI 53110. The listed phone number is (262) 243-2500.

What is Venelin Kounev's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Venelin Kounev enrolled in Medicare?

Yes. Venelin Kounev 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 Venelin Kounev accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Venelin Kounev 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.

Is Venelin Kounev affiliated with any hospitals?

According to CMS data, Venelin Kounev is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Venelin Kounev was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.