Active NPI
Venkataraman Santosh, M.D.
- Surgery Physician
- North Chesterfield, VA
National Provider Identifier
1366429037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101-231975
- Practice address
- 1051 Johnston Willis Dr
St. 200
North Chesterfield, VA 23235-4871 - Phone
- (804) 320-2705
- Fax
- (804) 330-2433
- NPI assigned
- Dec 23, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101231975 | VA | |
| Surgery Physician | 208600000X | 0101-231975 | VA | Primary |
Addresses
Primary practice location
1051 Johnston Willis Dr
St. 200
North Chesterfield, VA 23235-4871
Mailing address
1051 Johnston Willis Dr
St. 200
North Chesterfield, VA 23235-4871
Phone (804) 320-2705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7312130 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | VENKATARAMAN.SANTOSH@hca6.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-231975 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lea Regional Hospital LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Hobbs, NM
- NPI 1053419788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1366429037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 JOHNSTON WILLIS DR",
"address_2": "ST. 200",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354871",
"telephone_number": "804-320-2705",
"fax_number": "804-330-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 JOHNSTON WILLIS DR",
"address_2": "ST. 200",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354871",
"telephone_number": "804-320-2705",
"fax_number": "804-330-2433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOSH",
"first_name": "VENKATARAMAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101231975",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101-231975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7312130",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "VENKATARAMAN.SANTOSH@hca6.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1051 Johnston Willis Dr",
"address_2": "ST. 200",
"city": "North Chesterfield",
"state": "VA",
"country_code": "US",
"postal_code": "232354871",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.