Karthikeyan Vadakantharai Parameswaran, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036143017 Issued in IL

Practice address

2166 Madison Ave
Granite City, IL 62040-4700

Phone

(618) 219-3318

Fax

(618) 452-3329

NPI assigned

Jul 16, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• SSM Cardinal Glennon Childrens Hospital

  • Pediatrics Physician
  • O Fallon, IL
  • NPI 1174577670

  MO

  Medicare reassignment NPD
• SSM Health Care St Louis

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  Medicare reassignment NPD
• SSM Cardinal Glennon Children'S Hospital

  • Pediatrics Physician
  • Warrenton, MO
  • NPI 1962573212
  NPD
• SSM Health Care St. Louis

  • Cardiovascular Disease Physician
  • Bridgeton, MO
  • NPI 1376598599
  NPD

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1194132662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404700",
            "telephone_number": "618-219-3318",
            "fax_number": "618-452-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404700",
            "telephone_number": "618-219-3318",
            "fax_number": "618-452-3329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Lenox Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032017",
            "country_code": "US",
            "telephone_number": "718-270-1625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VADAKANTHARAI PARAMESWARAN",
        "first_name": "KARTHIKEYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-16",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036143017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Trussler
• Robert William Turck Jr., LCSW
• Lauren M Turner, DR.
• Ross Tyler, DC
• Julia Elaine Uhring Green, MSW, LCSW, CADC
• Philip S Valicoff, DMD
• Ilde Boy Tan Velasco, PT, DPT
• Michelle Renee Verbeke, RN
• Jeremie J Veto, PHARM D.
• Tanya Vietmeier, PTA

• Pediatrics Physician in Granite City, IL
• Providers in Granite City, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.