DR. VENKATESHWER RAO ROUTHU M.D.
NPI 1982827671
Internal Medicine in Canton, GA

Q: What is Venkateshwer Routhu's NPI number?

The NPI number for Venkateshwer Routhu is 1982827671. It was assigned to this individual provider in the NPPES registry on April 11, 2007. The provider is also known as Dr. Venkat R Routhu M.D..

Q: What is Venkateshwer Routhu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment

98.31/100

CMS Quality Rating

450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115(770) 224-1000(770) 224-2451 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 8, 2020, Jun 11, 2019 (2 updates tracked since 2019).

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About Dr. Venkateshwer Rao Routhu M.d. NPPES

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

DR. VENKATESHWER RAO ROUTHU M.D. (NPI 1982827671) is an individual internal medicine provider in Canton, Georgia, licensed in Georgia (045944) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1982827671

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. VENKATESHWER RAO ROUTHUCredential: M.D.

Location Address450 NORTHSIDE CHEROKEE BLVDCanton, GA 30115-8015

Mailing Address905 Waterford LndgMcdonough, GA 30253-7717 · (770) 957-0638

Phone(770) 224-1000

Fax(770) 224-2451

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateApril 11, 2007

Last NPPES UpdateJune 8, 20202 updates tracked since enumeration

NPPES CertifiedJune 8, 2020

✔ NPI 1982827671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in GA · 045944✔ Licensed in TN · MD0000058021✔ Licensed in IA · MD-44995

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115

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Other Names 1

Other Name (5)Dr. Venkat R Routhu M.d.

Secondary Practice Locations 3

Location 1801 5th StSioux City, IA 51101-1326 · Phone (712) 279-2010 · Fax (712) 279-2034

Location 21315 Milstead Rd NEConyers, GA 30012-8019 · Phone (770) 922-5600

Location 3435 2nd StNewport, TN 37821-3703 · Phone (423) 625-2200 · Fax (423) 625-2215

Other Identifiers 1

Medicaid000870416AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Venkateshwer Rao Routhu M.d. 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 ID749453199

PECOS Enrollment IDI20111031000120

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 3

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.

328 services106 patients

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.

104 services65 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

55 services55 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Southern Regional Medical Center

Acute Care Hospitals · Riverdale, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110165

Location11 Upper Riverdale Road, SWRiverdale, GA 30274 · Clayton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

98.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.88

Improvement Activities

Cost

84.56

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers15 claims15 services$43.79 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers34 claims34 services$16.65 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers36 claims36 services$80.57 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

3 suppliers14 claims14 services$27.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERICA ADDISON AA-C

Anesthesiologist Assistant