NPIMap

Individual provider Active NPI

Venkatesh Vasantha Madhav, MD

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1144274341
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2436 Issued in TX
Practice address
5040 Tennyson Pkwy
Plano, TX 75024-3002
Phone
(469) 476-7810
Fax
(469) 574-7840
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X L2436 TX
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 44245 TN
Internal Medicine Physician 207R00000X L2436 TX Primary

Addresses

Primary practice location

5040 Tennyson Pkwy
Plano, TX 75024-3002

Mailing address

5040 Tennyson Pkwy
Plano, TX 75024-3002
Phone (469) 476-7810

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
I20040609001521 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4981687050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5040 Tennyson Pkwy
Plano, TX 75024-3002
Phone (469) 476-7810

Hospital & facility affiliations

  • Genuine Home Health Services Home health agency, Plano, TX, CCN 679631
  • Shrine Home Health Care LLC Home health agency, Richardson, TX, CCN 748071
  • Maxserve Hospice Hospice, Dallas, TX, CCN 741558
  • Completetx Hospice Hospice, Richardson, TX, CCN 971616
  • Sunlight Hospice Care, LLC Hospice, Richardson, TX, CCN A91736
  • Maxserve Hospice Hospice, Dallas, TX, CCN 971580
  • Archway Hospice Hospice, Frisco, TX, CCN 741753
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44245TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
L2436TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Home Visits USA PLLC Internal Medicine CurrentSince Oct 25, 2019 Accepting new patients
Om Datta PLLC Geriatric Medicine CurrentSince Jan 7, 2019 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Premier Internists of North Texas, PLLC Internal Medicine Past Accepting new patients
True Medicine, PA Internal Medicine Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients
Double Lung PC PastSince Jul 12, 2013 Accepting new patients

Locations

1600 Coit Rd
Ste 205
Plano, TX 75075
Phone (469) 476-7810

4100 W 15th St
Ste 110
Plano, TX 75093
Phone (469) 408-2530

5040 Tennyson Pkwy
Plano, TX 75024
Phone (469) 476-7810

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Best Hospice ServicesDallas, TX, CCN 671751 Hospice W-2 Managing Employee Apr 11, 2025
Complete TX HospiceRichardson, TX, CCN 971616 Hospice Contracted Managing Employee May 1, 2024
Bliss Hospice LLCDallas, TX, CCN A91668 Hospice Operational/Managerial Control Jun 7, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 9

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1144274341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 TENNYSON PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243002",
            "telephone_number": "469-476-7810",
            "fax_number": "469-574-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 TENNYSON PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243002",
            "telephone_number": "469-476-7810",
            "fax_number": "469-574-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHAV",
        "first_name": "VENKATESH",
        "middle_name": "VASANTHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "L2436",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "44245",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.