Venkat Talasila, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

4301407245 Issued in MI

Practice address

2578 McLeod Dr N Ste 1
Saginaw, MI 48604-2859

Phone

(989) 799-5440

Fax

(989) 799-5651

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Venkat Talasila Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Psychiatry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067

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.

• Healthsource Saginaw Inc

  • Skilled Nursing Facility
  • Saginaw, MI
  • NPI 1265426704
  Medicare reassignment NPD
• Venkat Talasila

  • Mental Health Counselor
  • Bay City, MI
  • NPI 1942468459
  NPD (past) Authorized official
• Hema Talasila MD PLLC

  • Psychiatry Physician
  • Saginaw, MI
  • NPI 1295917888

  Specialist

  NPD
• Catholic Family Service

  • Community/Behavioral Health Agency
  • Mt. Pleasant, MI
  • NPI 1881735223
  NPD (past)
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Midland, MI
  • NPI 1609609536
  NPD (past)
• Great Lakes Bay Health Centers

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
  • NPI 1871684761
  NPD (past)
• Havenwyck Hospital Inc

  • Psychiatric Hospital
  • Auburn Hills, MI
  • NPI 1053342220
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1124029335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 MCLEOD DR N",
            "address_2": "STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042859",
            "telephone_number": "989-799-5440",
            "fax_number": "989-799-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 MCLEOD DR N STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042859",
            "telephone_number": "989-799-5440",
            "fax_number": "989-799-5651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Wenona St",
            "address_2": "Suite G29",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487068833",
            "country_code": "US",
            "telephone_number": "989-893-3212",
            "fax_number": "989-893-0461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Court St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488582358",
            "country_code": "US",
            "telephone_number": "989-772-6263",
            "fax_number": "989-799-5651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALASILA",
        "first_name": "VENKAT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301407245",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301407245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942468459",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3117160",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SAGINAW",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SAGINAW",
            "address_1": "2578 McLeod Dr N Ste 1",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486042859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VENKAT",
            "last_name": "TALASILA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael J Taipale, D.O.
• Stephanie Takahashi, RN
• Lovelyne Takang
• Barry Talaga
• Hema N Talasila, M.D.
• Joseph E Talbot, M.D.
• Jeffery Talkington, PRC
• Ahmadou Tall
• Wardene B. Talley
• Caeley Tallon

• Child & Adolescent Psychiatry Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Child & Adolescent Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.