Venkatachala Pathy, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

114601 Issued in NY

Practice address

1874 Pelham Pkwy South
Suite LM
Bronx, NY 10461-3733

Phone

(718) 931-8500

Fax

(718) 931-0823

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nephrology Associates, P.C.

  • Nephrology Physician
  • Flushing, NY
  • NPI 1326165069
  NPD (past)
• Nephrology Associates,P.C.

  • Nephrology Physician
  • Bronx, NY
  • NPI 1740382886
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124235221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 PELHAM PKWY SOUTH",
            "address_2": "SUITE LM",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613733",
            "telephone_number": "718-931-8500",
            "fax_number": "718-931-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 PELHAM PKWY SOUTH",
            "address_2": "SUITE LM",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613733",
            "telephone_number": "718-931-8500",
            "fax_number": "718-931-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHY",
        "first_name": "VENKATACHALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "114601",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "114601",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "114601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00424575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathmark Stores Inc
• Pathmark Stores Inc
• Mathew Pathrose, PA
• Pathway Psychotherapy, Mental Health Counseling, PLLC
• Pathway to Wellness Counseling Center Inc
• Sreenivasa R Patibandla, M.D
• Angelica Maria Patino Gonzalez, M.D
• Keerthi Patlolla
• Sarah Kathleen Patno, PA-C
• Sloan Paton Jean-Baptiste

• Geriatric Medicine (Internal Medicine) Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.