Individual provider Active NPI

Kalpathy V Venkatesan, MD

  • Hematology & Oncology Physician
  • Porterville, CA
National Provider Identifier
1245289420
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A38108 Issued in CA
Practice address
365 Pearson Dr
Suite #5
Porterville, CA 93257-3360
Phone
(559) 788-2175
Fax
(559) 788-2227
NPI assigned
May 8, 2006
Last updated
Apr 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G2048 TX
Hematology & Oncology Physician 207RH0003X A38108 CA Primary

Addresses

Primary practice location

365 Pearson Dr
Suite #5
Porterville, CA 93257-3360

Mailing address

365 Pearson Dr
Suite #5
Porterville, CA 93257-3360
Phone (559) 788-2175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040707001294 TX Practitioner - Medical OncologyPractitioner - Hematology 7911985924 Reassigns benefits to 1 organization
I20150302002548 CA Practitioner - Internal MedicinePractitioner - Medical OncologyPractitioner - HematologyPractitioner - Pain ManagementPractitioner - Hematology/Oncology 7911985924 Reassigns benefits to 1 organization
I20210625000128 NY Practitioner - Internal MedicinePractitioner - Hematology/Oncology 7911985924 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38108CAMDLicensed Psychiatric Technician
A38108CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Jun 30, 2023 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jun 21, 2021 Accepting new patients
Complete Care Community Health Center, Inc Current Accepting new patients
TMH Physician Associates PLLC CurrentSince Jun 30, 2023 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Jul 15, 2019 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jun 21, 2021 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Jul 15, 2019 Accepting new patients

Locations

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

365 Pearson Dr
Ste 5
Porterville, CA 93257
Phone (559) 781-5179

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

Interoperability endpoints

  • Direct secure messaging: kalpathy.venkatesan.p1@direct.ccchcenter.nextgenshare.com
  • Direct secure messaging: kalpathy.venkatesan@theoncologyinstitute.ikm.direct-ci.com
  • Direct secure messaging: kvenkatesan2007229@oc.providencedirect.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1245289420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 PEARSON DR",
            "address_2": "SUITE #5",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573360",
            "telephone_number": "559-788-2175",
            "fax_number": "559-788-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 PEARSON DR",
            "address_2": "SUITE #5",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573360",
            "telephone_number": "559-788-2175",
            "fax_number": "559-788-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESAN",
        "first_name": "KALPATHY",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "G2048",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A38108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.