Physician Compare National (NPI:1437111697)

HEALTHCARE PROVIDER: VENKAT THOTA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1437111697
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284726332
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070822000458
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THOTA
	Individual professional last name
Provider First Name	VENKATESWARLU
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1518 10TH ST
	Group Practice or individual's line 1 address
City	WICHITA FALLS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	763014405
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450010
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNITED REGIONAL HEALTH CARE SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450584
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WILBARGER GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	451354
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HAMILTON HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	451343
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ELECTRA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450085
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	GRAHAM REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1437111697)

HEALTHCARE PROVIDER: VENKAT THOTA MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information