Organization Active NPI

Tri-City Colo-Rectal Surgery LTD

  • Colon & Rectal Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1285771600
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
TRI-CITY COLO-RECTAL SURGERY LTD
Practice address
2223 E Baseline Rd
Suite a
Gilbert, AZ 85234-2325
Phone
(480) 835-5302
Fax
(480) 844-2081
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Karukurichi S Venkatesh, MDNPI 1891768677
Title
Owner
Phone
(480) 835-5302

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

2223 E Baseline Rd
Suite a
Gilbert, AZ 85234-2325

Mailing address

2223 E Baseline Rd
Suite a
Gilbert, AZ 85234-2325
Phone (480) 835-5302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614000735 AZ Part B Supplier - Clinic/Group Practice 5698759272 Receives reassigned benefits from 5 practitioners
Practice locations: Gilbert, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0713599Tri-City Colo-Rectal Surgery2223 E Baseline Rd Ste a, Gilbert, AZ 85234Certificate of waiverMay 29, 2028

National Provider Directory

National Provider Directory

Locations

2223 E Baseline Rd
Ste A
Gilbert, AZ 85234
Phone (480) 461-2788

1400 S Dobson Rd
#A205
Mesa, AZ 85202
Phone (480) 512-3000

1450 S Dobson Rd
#A205
Mesa, AZ 85202
Phone (480) 835-5302

Practitioners & affiliated clinicians

Practitioners 5

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1285771600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 E BASELINE RD",
            "address_2": "SUITE A",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342325",
            "telephone_number": "480-835-5302",
            "fax_number": "480-844-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 E BASELINE RD",
            "address_2": "SUITE A",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342325",
            "telephone_number": "480-835-5302",
            "fax_number": "480-844-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY COLO-RECTAL SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "VENKATESH",
        "authorized_official_first_name": "KARUKURICHI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-835-5302",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.