NPIMap

Individual provider Active NPI

Ashwin Venkataraman, MD

  • Family Medicine Physician
  • Aberdeen, WA
National Provider Identifier
1083095061
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
IMLC.MD.70005245 Issued in WA
Practice address
1020 Anderson Dr
Aberdeen, WA 98520-1055
Phone
(360) 533-6063
Fax
(360) 533-2204
NPI assigned
Jun 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125067597 IL
Family Medicine Physician 207Q00000X R6125 TX
Family Medicine Physician 207Q00000X IMLC.MD.70005245 WA Primary

Addresses

Primary practice location

1020 Anderson Dr
Aberdeen, WA 98520-1055

Mailing address

2241 Boxcar St NE
Olympia, WA 98506-1242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210707000392 TX Practitioner - Family Practice 2163718818 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quinault Indian NationGroup PAC ID 4385164839, 14 clinicians
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

1020 Anderson Dr
Suite 203
Aberdeen, WA 98520-1055
Phone (360) 533-6063

3560 W Camp Wisdom Rd
100 Parkland Health
Dallas, TX 75237-2506
Phone (214) 266-0003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IMLC.MD.70005245WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Housecalls Inc Family Medicine CurrentSince Oct 7, 2024 Accepting new patients
Dallas County Hospital District Family Medicine CurrentSince Mar 29, 2023 Accepting new patients
Dallas County Hospital District CurrentSince Mar 29, 2023 Accepting new patients
Traveling Doctors, LLC CurrentSince Oct 7, 2024 Accepting new patients
Citywide Housecalls, LLC Family Medicine CurrentSince Dec 19, 2023 Accepting new patients
Dallas County Hospital District Current Accepting new patients
Primary Health Physicians, PLLC PastSince Aug 18, 2024 Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients

Locations

8035 E R L Thornton Fwy
Ste 424
Dallas, TX 75228
Phone (972) 808-7541

3560 W Camp Wisdom Rd
Ste 100
Dallas, TX 75237
Phone (214) 266-4000

1919 S Shiloh Rd
Ste 218
Garland, TX 75042
Phone (972) 808-7541

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Organizations & group practices 9

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

Hospital & facility affiliations 50

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

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1083095061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 BOXCAR ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985061242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ANDERSON DR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201055",
            "telephone_number": "360-533-6063",
            "fax_number": "360-533-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATARAMAN",
        "first_name": "ASHWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125067597",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R6125",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "IMLC.MD.70005245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.