Organization Active NPI

Veeone Medical Group PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Roseville, CA
National Provider Identifier
1265156558
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
VEEONE MEDICAL GROUP PA
Practice address
1420 Rocky Ridge Dr Ste 300
Roseville, CA 95661-2835
Phone
(916) 865-4668
NPI assigned
Sep 29, 2022
Last updated
Jul 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Dr. Shaji D Skaria, MDNPI 1699971432
Title
Owner
Phone
(631) 830-5438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

1420 Rocky Ridge Dr Ste 300
Roseville, CA 95661-2835

Mailing address

1420 E Roseville Pkwy Ste 140
Roseville, CA 95661-3080
Phone (916) 865-4668

Other practice location 1

6000 Poplar Avenue
Suite 250 - #2015
Memphis, TN 38119
Phone (916) 865-4668

Other practice location 2

3031 Osprey Cir
Panama City, FL 32405-0200
Phone (916) 865-4668

Other practice location 3

501 NE 94th St
Miami Shores, FL 33138-2847
Phone (916) 865-4668

Other practice location 4

3516 Par Rd
Sebring, FL 33872-1225
Phone (916) 865-4668

Other practice location 5

500 Knights Run Ave Unit 2014
Tampa, FL 33602-6020
Phone (916) 865-4668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, AZ, CA, TN, IN, NV, DC, CO, MS, TX, NC, MD, CT, MA, NY, NE, IA, MI, OR, WA, MO, SC, OK, NJ, IL, ND, AL28 enrollments

Enrollment records 28

Enrollment IDStateProvider typePAC IDDetails
O20221021001369 FL Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL; Miami Shores, FL; Panama City, FL; Sebring, FL; Tampa, FL; Longwood, FL
O20221110002874 GA Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 9 practitioners
Practice locations: Newnan, GA; Villa Rica, GA; Evans, GA; Augusta, GA; Atlanta, GA; Alpharetta, GA
O20221114001631 AZ Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 7 practitioners
Practice locations: Tucson, AZ; Scottsdale, AZ; Marana, AZ; Chandler, AZ; Phoenix, AZ
O20221114001814 CA Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 48 practitioners
Practice locations: Roseville, CA; Los Angeles, CA; Rocklin, CA; Montebello, CA; Vacaville, CA; Sacramento, CA; San Diego, CA; San Pedro, CA…
O20221115000651 TN Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 8 practitioners
Practice locations: Elmwood, TN; Johnson City, TN; Memphis, TN; Nolensville, TN; Signal Mountain, TN
O20221115001150 IN Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 11 practitioners
Practice locations: Indianapolis, IN; Kokomo, IN
O20221115001678 NV Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 10 practitioners
Practice locations: Henderson, NV; Reno, NV; Las Vegas, NV
O20221115002087 DC Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 3 practitioners
Practice locations: Fairfax, VA; Potomac, MD; Washington, DC
O20221115003254 CO Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20221115003329 MS Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 1 practitioner
Practice locations: Southaven, MS
O20221115003433 TX Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 17 practitioners
Practice locations: Katy, TX; Pearland, TX; Plano, TX; Richardson, TX; San Antonio, TX; Allen, TX; Spring, TX; Houston, TX…
O20221116000680 NC Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 6 practitioners
Practice locations: Winston Salem, NC; Charlotte, NC; Lewisville, NC; Chapel Hill, NC
O20221121000643 MD Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 2 practitioners
Practice locations: Clarksville, MD; Columbia, MD; Gambrills, MD
O20221129000215 CT Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, CT
O20221129003097 MA Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 2 practitioners
Practice locations: Boston, MA; Rehoboth, MA
O20221130000617 NY Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 5 practitioners
Practice locations: Port Washington, NY; Woodmere, NY; Woodbury, NY; Staten Island, NY; Newburgh, NY; New York, NY; Long Island City, NY; Liverpool, NY
O20221201001456 NE Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 18 practitioners
Practice locations: Lincoln, NE
O20221202000156 IA Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 18 practitioners
Practice locations: Des Moines, IA
O20221207002186 MI Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 15 practitioners
Practice locations: Saginaw, MI; Sterling Heights, MI; Port Huron, MI; Farmington Hills, MI
O20221214002987 OR Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 2 practitioners
Practice locations: Sherwood, OR; Salem, OR; Redmond, OR; Portland, OR; Bend, OR
O20221215000717 WA Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 4 practitioners
Practice locations: Bothell, WA; Seattle, WA; Spokane, WA; Vancouver, WA
O20230626000587 MO Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 6 practitioners
Practice locations: Nixa, MO; Kansas City, MO; Columbia, MO
O20230720002266 SC Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 13 practitioners
Practice locations: Charleston, SC; Fort Mill, SC; Myrtle Beach, SC
O20230905003466 OK Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 5 practitioners
Practice locations: Tulsa, OK; Edmond, OK
O20230915000266 NJ Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 2 practitioners
Practice locations: Bayonne, NJ; Teaneck, NJ
O20231103001146 IL Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 4 practitioners
Practice locations: Bolingbrook, IL; Deerfield, IL; Naperville, IL
O20240125002469 ND Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 2 practitioners
Practice locations: Bismarck, ND
O20240214004088 AL Part B Supplier - Clinic/Group Practice 6800262437 Receives reassigned benefits from 1 practitioner
Practice locations: Irondale, AL

National Provider Directory

National Provider Directory

Locations

3033 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 307-2927

1420 E Roseville Pkwy
Ste 140150
Roseville, CA 95661

9465 Counselors Row
Ste 279
Indianapolis, IN 46240

13854 Lakeside Cir
Fl 2
Sterling Heights, MI 48313
Phone (586) 404-4449

13854 Lakeside Cir
Fl 2529
Sterling Heights, MI 48313

13854 Lakeside Cir
Ste 529
Sterling Heights, MI 48313

13854 Lakeside Cir
Sterling Hts, MI 48313
Phone (586) 690-1568

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

6000 Poplar Ave
Ste 2502015
Memphis, TN 38119

11111 Katy Fwy
Ste 9100062
Houston, TX 77079

Practitioners & affiliated clinicians

Practitioners 114

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 114

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1265156558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E ROSEVILLE PKWY STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613080",
            "telephone_number": "916-865-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 ROCKY RIDGE DR STE 300",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612835",
            "telephone_number": "916-865-4668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Poplar Avenue",
            "address_2": "Suite 250 - #2015",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38119",
            "country_code": "US",
            "telephone_number": "916-865-4668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3031 Osprey Cir",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324050200",
            "country_code": "US",
            "telephone_number": "916-865-4668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 NE 94th St",
            "address_purpose": "LOCATION",
            "city": "Miami Shores",
            "state": "FL",
            "postal_code": "331382847",
            "country_code": "US",
            "telephone_number": "916-865-4668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3516 Par Rd",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338721225",
            "country_code": "US",
            "telephone_number": "916-865-4668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Knights Run Ave Unit 2014",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336026020",
            "country_code": "US",
            "telephone_number": "916-865-4668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VEEONE MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "SKARIA",
        "authorized_official_first_name": "SHAJI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-830-5438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.