DR. NAGAGOPAL VENNA (MD) – Neurology Physician, NPI 1013998160

DR. NAGAGOPAL VENNA (MD) is a healthcare provider. based in Charlestown, Massachusetts. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 41708 (MA). The NPI Number for DR. NAGAGOPAL VENNA (MD) is 1013998160

Main info

Male
58 Years Of Experience
Accepts Medicare Assignment
Name
DR. NAGAGOPAL VENNA (MD)
NPI
1013998160
Phone
(617) 726-7643
Address
PO BOX 9142
Enumeration Date
7 November 2005
Last Update Date
7 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177240287
Graduation Year
1968 (58 years ago)
PAC ID
5991779993
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20040825000314
Address ID
MA021142696BO55XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,144 NEUROLOGY in MA

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Provider Addresses for DR. NAGAGOPAL VENNA (MD)

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    CHARLESTOWN, MA 021299142

    Phone: (617) 726-7643

    Fax: (617) 726-6991

    Type: Mailing

  • 15, Parkman Street, Fields Corner, Dorchester, Boston, Suffolk County, Massachusetts, 02122, United States

    WAC 835

    BOSTON, MA 021143117

    Phone: (617) 726-5533

    Fax: (617) 726-6991

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040825000314INeurologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes189137$0
99214Established patient office or other outpatient visit, 30-39 minutes4744$0
View full utilization report →

Insurance plans in this area (ZIP 02129)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
P A T H O L O G YTX

Reviews

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Frequently asked questions

Can I cross-check DR. NAGAGOPAL VENNA (MD) using NPI 1013998160?
NPI 1013998160 belongs to DR. NAGAGOPAL VENNA (MD); compare other details if you need extra assurance.
Is DR. NAGAGOPAL VENNA (MD) shown as active in public data?
Registry records indicate DR. NAGAGOPAL VENNA (MD) maintains an active NPI.
What clinical focus is listed for DR. NAGAGOPAL VENNA (MD)?
At a glance, DR. NAGAGOPAL VENNA (MD) is tied to Neurology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. NAGAGOPAL VENNA (MD)?
Travel planning: use Charlestown, Massachusetts as the reference point for DR. NAGAGOPAL VENNA (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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