Active NPI
T K Venkatesan, M.D.
- Otolaryngology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036088143
- Practice address
- 30 N Michigan Ave
#1107
Chicago, IL 60602-3402 - Phone
- (312) 236-3642
- Fax
- (312) 236-5162
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036088143 | IL | Primary |
Addresses
Primary practice location
30 N Michigan Ave
#1107
Chicago, IL 60602-3402
Mailing address
PO Box 809094
Chicago, IL 60680-9094
Phone (312) 236-3642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036088143 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000
2845 N Sheridan Rd
Suite 807
Chicago, IL 60657-7227
Phone (773) 296-5500
3000 N Halsted St
Suite 400
Chicago, IL 60657-8480
Phone (773) 296-5500
331 W Surf St
Chicago, IL 60657-7227
Phone (773) 739-2694
Hospital & facility affiliations
- Presence Saints Mary and Elizabeth Medical Center
- Advocate Illinois Masonic Medical Center
- Presence Saint Joseph Hospital - Chicago
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036088143 | IL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head & Neck Cosmetic Surgery Associates LLC | Otolaryngology | Current | Accepting new patients |
| Presence Healthcare Services | Past | Accepting new patients |
Locations
30 N Michigan Ave
Ste 1107
Chicago, IL 60602
Phone (312) 236-3642
30 N Michigan Ave
#1107
Chicago, IL 60602
Phone (312) 236-3642
2222 W Division St
Ste 330
Chicago, IL 60622
Phone (773) 227-0111
3000 N Halsted St
Ste 400
Chicago, IL 60657
Phone (773) 296-5500
2522 W Peterson Ave
Chicago, IL 60659
Phone (773) 262-4110
Interoperability endpoints
- tk.venkatesan.1@3547.direct.athenahealth.com
- tk.venkatesan@hncsa.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Skokie, IL
- NPI 1558330811
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1922115864
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1265270607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1295797470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 809094",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606809094",
"telephone_number": "312-236-3642",
"fax_number": "312-236-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE",
"address_2": "#1107",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023402",
"telephone_number": "312-236-3642",
"fax_number": "312-236-5162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENKATESAN",
"first_name": "T",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036088143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036088143",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.