Bayside Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BAYSIDE PEDIATRICS LLC

Practice address

1020 Independence Blvd
Ste 105
Virginia Beach, VA 23455-5500

Phone

(757) 460-5521

Fax

(757) 460-3817

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Saileela Venkatesan, MDNPI 1174531677

Title

Physician Owner

Phone

(757) 460-5521

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saileela Venkatesan, MD

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1174531677
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225174154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-460-5521",
            "fax_number": "757-460-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-460-5521",
            "fax_number": "757-460-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENKATESAN",
        "authorized_official_first_name": "SAILEELA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "757-460-5521",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Bayer, DACM
• Elizabeth Ellen Baylor, OD
• Baypointe Medical and Rehabilitation
• Bayside Hematology &Oncology P.C
• Bayside Internal Medicine PLC
• Bayside SNF LLC
• Bayside Speech Therapy, Inc.
• Bayview Physician Services, PC
• Bayview Physician Services, PC
• Taniyah Leilonie Bazemore

• Pediatrics Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.