NPIMap

Individual provider Active NPI

Venkat Seshadri, MD

  • Orthopaedic Surgery Physician
  • Flossmoor, IL
National Provider Identifier
1093918203
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036133341 Issued in IL
Practice address
19801 Governors Hwy Ste 160
Flossmoor, IL 60422-4363
Phone
(708) 957-0505
Fax
(708) 957-0506
NPI assigned
Jun 6, 2007
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036133341 IL Primary

Addresses

Primary practice location

19801 Governors Hwy Ste 160
Flossmoor, IL 60422-4363

Mailing address

19801 Governors Hwy Ste 160
Flossmoor, IL 60422-4363
Phone (708) 957-0505

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vseshadri281436@direct.myadvocateaurora.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20130806000168 IL Practitioner - Orthopedic Surgery 2365629185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedic and Hand Center SCGroup PAC ID 4284764440, 6 clinicians

Practice addresses (Care Compare)

19801 Governors Hwy
Suite 160
Flossmoor, IL 60422-4363
Phone (708) 957-0505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Hand Center, SC Orthopaedic Surgery CurrentSince May 17, 2024 Accepting new patients
Premier Orthopaedic and Hand Center, SC Orthopaedic Surgery CurrentSince May 17, 2024 Accepting new patients

Locations

19801 Governors Hwy
Ste 160
Flossmoor, IL 60422
Phone (708) 478-8889

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJFCDD
  • Direct secure messaging: vseshadri159379@direct.franciscanalliance.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1093918203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY STE 160",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224363",
            "telephone_number": "708-957-0505",
            "fax_number": "708-957-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY STE 160",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224363",
            "telephone_number": "708-957-0505",
            "fax_number": "708-957-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESHADRI",
        "first_name": "VENKAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036133341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vseshadri281436@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "19801 Governors Hwy Ste 160",
            "city": "Flossmoor",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604224363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.