NPIMap

Individual provider Active NPI

Perinkulam V Viswanathan, MD

  • Cardiovascular Disease Physician
  • Monroeville, PA
National Provider Identifier
1194791434
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD073472L Issued in PA
Practice address
125 Daugherty Dr Ste 301
Monroeville, PA 15146-2749
Phone
(412) 856-4666
Fax
(412) 856-6907
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD073472L PA Primary

Addresses

Primary practice location

125 Daugherty Dr Ste 301
Monroeville, PA 15146-2749

Mailing address

125 Daugherty Drive
Suite 301
Monroeville, PA 15146
Phone (412) 856-4666

Other identifiers 2

IdentifierTypeStateIssuer
001857772MedicaidPA
0018577720007MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040116000104 PA Practitioner - Cardiovascular Disease (Cardiology) 1759282494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Cardiovascular Medicine PCGroup PAC ID 9234110685, 6 clinicians

Practice addresses (Care Compare)

125 Daugherty Dr
Suite 301
Monroeville, PA 15146-2749
Phone (412) 856-4666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.86 of 100Reported as group
Quality
74.72
Improvement activities
40
Cost
79.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD073472LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Past Accepting new patients
Shadyside Cardiology Rotation PC Specialist Past Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drravi@specialists.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1194791434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DAUGHERTY DRIVE",
            "address_2": "SUITE 301",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "412-856-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DAUGHERTY DR STE 301",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462749",
            "telephone_number": "412-856-4666",
            "fax_number": "412-856-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "PERINKULAM",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD073472L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001857772",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018577720007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.