Individual provider Active NPI

S Venkataraman, M.D.

  • Gastroenterology Physician
  • Oak Lawn, IL
National Provider Identifier
1154347748
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036067578 Issued in IL
Practice address
10458 S Pulaski Rd
Oak Lawn, IL 60453-4933
Phone
(708) 636-1818
Fax
(708) 636-2151
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036067578 IL Primary

Addresses

Primary practice location

10458 S Pulaski Rd
Oak Lawn, IL 60453-4933

Mailing address

10458 S Pulaski Rd
Oak Lawn, IL 60453-4933
Phone (708) 636-1818

Other identifiers 3

IdentifierTypeStateIssuer
036067578MedicaidIL
0031601474OtherILBLUE SHIELD
110023497OtherILRAILROAD MEDICARE

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address svenkataraman278385@direct.myadvocateaurora.org Direct
Direct Messaging Address subramanianvenkataraman@swmc.allscriptsdirect.net Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
FHIR URL https://fhir.prosuite.allscriptscloud.com/fhirroute/60126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050317000090 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 6305891953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10458 S Pulaski Rd
Oak Lawn, IL 60453-4933
Phone (708) 636-1818

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy96
Upper gastrointestinal (GI) endoscopy for acid reflux26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Consultants, S.C. CurrentSince Sep 1, 1988 Accepting new patients
Southwest Medical Consultants, S.C. Gastroenterology CurrentSince Feb 1, 2005 Accepting new patients

Locations

2545 S Ml King Dr
Chicago, IL 60616
Phone (312) 842-7117

10458 S Pulaski Rd
Oak Lawn, IL 60453
Phone (708) 425-6170

7230 171st St
Unit 187
Tinley Park, IL 60477

Interoperability endpoints

  • Direct secure messaging: svenkataraman278385@direct.myadvocateaurora.org
  • Direct secure messaging: subramanianvenkataraman@swmc.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1154347748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10458 S PULASKI RD",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534933",
            "telephone_number": "708-636-1818",
            "fax_number": "708-636-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10458 S PULASKI RD",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534933",
            "telephone_number": "708-636-1818",
            "fax_number": "708-636-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATARAMAN",
        "first_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036067578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067578",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0031601474",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110023497",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svenkataraman278385@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "advocate",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10458 S Pulaski Rd",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604534933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "subramanianvenkataraman@swmc.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10458 S Pulaski Rd",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604534933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "advocate fhir",
            "address_1": "10458 S Pulaski Rd",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604534933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.prosuite.allscriptscloud.com/fhirroute/60126",
            "affiliation": "N",
            "address_1": "10458 S Pulaski Rd",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604534933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.