Individual provider Active NPI

Venkatasubramanian Kanthimathinathan, M.D

  • Surgery Physician
  • Riverview, FL
National Provider Identifier
1023286945
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME163458 Issued in FL
Practice address
6043 Winthrop Commerce Ave Ste 201
Riverview, FL 33578-4274
Phone
(813) 291-0629
NPI assigned
Feb 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD446487 PA
Surgery Physician 208600000X MD.42785 AL
Surgery Physician 208600000X A102298 CA
Surgery Physician 208600000X ME163458 FL Primary

Addresses

Primary practice location

6043 Winthrop Commerce Ave Ste 201
Riverview, FL 33578-4274

Mailing address

6043 Winthrop Commerce Ave Ste 201
Riverview, FL 33578-4274
Phone (813) 291-0629

Other practice location 1

116 Parsons Park Dr
Brandon, FL 33511-6066
Phone (813) 684-5255

Other practice location 2

13403 Boyette Rd
Riverview, FL 33569-8742
Phone (813) 654-1775

Other identifiers 1

IdentifierTypeStateIssuer
272926MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908002671 FL Practitioner - General Surgery 9830377415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

116 Parsons Park Dr
Brandon, FL 33511-6066
Phone (813) 684-5255

Hospital & facility affiliations

  • Adventhealth Riverview Hospital, Riverview, FL, CCN 100364
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.42785ALMDSurgery Physician
A102298CAMDSurgery Physician
ME163458FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Surgery CurrentSince Oct 23, 2023 Accepting new patients
Sacred Heart Healthcare System Past Accepting new patients

Locations

116 Parsons Park Dr
Brandon, FL 33511
Phone (813) 681-6625

13403 Boyette Rd
Riverview, FL 33569
Phone (813) 530-0520

6043 Winthrop Commerce Ave
Ste 201
Riverview, FL 33578
Phone (813) 291-0629

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • FL PPO
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: vkanthimathinathan1754408@adventhealth.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1023286945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 WINTHROP COMMERCE AVE STE 201",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784274",
            "telephone_number": "813-291-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 WINTHROP COMMERCE AVE STE 201",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784274",
            "telephone_number": "813-291-0629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Parsons Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116066",
            "country_code": "US",
            "telephone_number": "813-684-5255",
            "fax_number": "813-654-1775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13403 Boyette Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335698742",
            "country_code": "US",
            "telephone_number": "813-654-1775",
            "fax_number": "813-651-9082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANTHIMATHINATHAN",
        "first_name": "VENKATASUBRAMANIAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD446487",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.42785",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A102298",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME163458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272926",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.