NPIMap

Individual provider Active NPI

Preetham Venkateswaran, MD

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1053938845
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4351046356 Issued in MI
Practice address
G3230 Beecher Rd Ste 2
Flint, MI 48532-3604
Phone
(810) 342-5800
Fax
(810) 342-5800
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A191237 CA
Internal Medicine Physician 207R00000X 4351046356 MI Primary

Addresses

Primary practice location

G3230 Beecher Rd Ste 2
Flint, MI 48532-3604

Mailing address

G3230 Beecher Rd Ste 2
Flint, MI 48532-3604
Phone (810) 342-5800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628000607 CA Practitioner - Internal Medicine 7012330533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Advantage Hospitalists IncGroup PAC ID 7810291531, 9 clinicians
Life Medical PractitionersGroup PAC ID 5698136745, 20 clinicians

Practice addresses (Care Compare)

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727

2309 Antonio Ave
Camarillo, CA 93010-1414
Phone (805) 389-5800

4776 Allied Rd
San Diego, CA 92120-2412
Phone (818) 823-6717

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A191237CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince Nov 1, 2025 Accepting new patients
Life Medical Practitioners Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Nov 1, 2025 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Advantage Hospitalists Inc. Internal Medicine CurrentSince May 4, 2024 Accepting new patients

Locations

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

20969 Ventura Blvd
Ste 22
Woodland Hls, CA 91364

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1053938845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3230 BEECHER RD STE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323604",
            "telephone_number": "810-342-5800",
            "fax_number": "810-342-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3230 BEECHER RD STE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323604",
            "telephone_number": "810-342-5800",
            "fax_number": "810-342-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESWARAN",
        "first_name": "PREETHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A191237",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4351046356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.