Individual provider Active NPI

Thilagavathi Venkatachalam, MD

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1124213442
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
170785 Issued in FL
Practice address
1801 NW 9TH Ave
Miami, FL 33136-1101
Phone
(305) 355-5000
Fax
(305) 355-5235
NPI assigned
Sep 10, 2007
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X FELMD2021-059 NM
Nephrology Physician 207RN0300X 69779 AZ
Nephrology Physician 207RN0300X R9160 TX
Nephrology Physician 207RN0300X 170785 FL Primary

Addresses

Primary practice location

1801 NW 9TH Ave
Miami, FL 33136-1101

Mailing address

1801 NW 9TH Ave
Miami, FL 33136-1101
Phone (305) 355-5000

Other practice location 1

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000

Other practice location 2

3821 Masthead St NE
Albuquerque, NM 87109-4679
Phone (505) 998-7400

Other practice location 3

701 S Zarzamora St
San Antonio, TX 78207-5209
Phone (210) 358-7578

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tvenkatachalam1948937@ehrdirect.mayoclinicmsg.org

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
I20241022002928 FL Practitioner - Nephrology 7315023751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1801 NW 9TH Ave
Hepatology
Miami, FL 33136-1101
Phone (305) 355-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170785FLMDNephrology Physician
R9160TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami Internal Medicine CurrentSince Oct 7, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Internal Medicine Current Accepting new patients
University of Miami Nephrology CurrentSince Oct 7, 2024 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Miami, FL 33136
Phone (305) 355-5000

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

701 S Zarzamora St
San Antonio, TX 78207
Phone (210) 358-7000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tvenkatachalam144529@direct.med.miami.edu

Organizations & group practices 4

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1124213442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361101",
            "telephone_number": "305-355-5000",
            "fax_number": "305-355-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361101",
            "telephone_number": "305-355-5000",
            "fax_number": "305-355-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595499",
            "country_code": "US",
            "telephone_number": "480-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3821 MASTHEAD ST NE",
            "address_purpose": "LOCATION",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094679",
            "country_code": "US",
            "telephone_number": "505-998-7400",
            "fax_number": "505-998-7741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 S Zarzamora St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782075209",
            "country_code": "US",
            "telephone_number": "210-358-7578",
            "fax_number": "210-358-7129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENKATACHALAM",
        "first_name": "THILAGAVATHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "FELMD2021-059",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "69779",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "R9160",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "170785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tvenkatachalam1948937@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.