Organization Active NPI

S. Venkatesh MD PC

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1245350503
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
058224L Issued in PA
Legal business name
S. VENKATESH MD PC
Practice address
100 Delafield Rd Ste 211
Pittsburgh, PA 15215-3247
Phone
(412) 784-0666
Fax
(412) 784-1179
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Sesharyengar Venkatesh, MD PC
Title
President
Phone
(412) 784-0666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 058224L PA Primary

Addresses

Primary practice location

100 Delafield Rd Ste 211
Pittsburgh, PA 15215-3247

Mailing address

7075 Bennington Woods Dr
Pittsburgh, PA 15237-6372
Phone (412) 784-0666

Other identifiers 1

IdentifierTypeStateIssuer
1583481OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180720001721 PA Part B Supplier - Clinic/Group Practice 6709133838 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

100 Delafield Rd
Ste 211
Pittsburgh, PA 15215
Phone (412) 784-0666

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1245350503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 BENNINGTON WOODS DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376372",
            "telephone_number": "412-784-0666",
            "fax_number": "412-784-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DELAFIELD RD STE 211",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153247",
            "telephone_number": "412-784-0666",
            "fax_number": "412-784-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. VENKATESH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "VENKATESH",
        "authorized_official_first_name": "SESHARYENGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-784-0666",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "058224L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1583481",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.