{"npi":"1124172010","type":"NPI-1","status":"active","name":{"display":"Dr. Venkat Namburu M.D.","other":[{"code":"1","type":"Formerly known as","value":"NAMBURU, VENKATESWARA RAO"}],"first":"VENKAT","last":"NAMBURU","middle":"ESWARA-RAO","credential":"M.D."},"specialty":{"primary_taxonomy":"207RG0100X","primary_taxonomy_description":"Gastroenterology","slug":"gastroenterology","schema_org_specialty":"Gastroenterologic","all":[{"code":"207RG0100X","description":"Gastroenterology","primary":true,"state":"TX","license":"L3766"}]},"addresses":[{"purpose":"LOCATION","street_1":"7633 BELLAIRE DR S","city":"FORT WORTH","state":"TX","postal_code":"761324311","country_code":"US","street_2":"SUITE 105","phone":"8173865767","fax":"8173865857"},{"purpose":"MAILING","street_1":"7633 BELLAIRE DR S","city":"FORT WORTH","state":"TX","postal_code":"761324311","country_code":"US","street_2":"SUITE 105","phone":"8173865767","fax":"8173865857"}],"license":{"state":"TX","number":"L3766"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"151742702","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051019000233","type_code":"14-10","type_desc":"PRACTITIONER - GASTROENTEROLOGY","state":"TX","pac_id":"5698791655"}]},"enumeration_date":"2007-01-22","last_updated":"2016-05-06","_meta":{"source":"NPPES","snapshot_date":"2016-05-06","doc_url":"https://findmynpi.com/api"}}