Individual provider Active NPI

Priya Venkatesh, MD

  • Pediatrics Physician
  • Plano, TX
National Provider Identifier
1376768366
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M9719 Issued in TX
Practice address
5655 W Spring Creek Pkwy Ste 200
Plano, TX 75024-4175
Phone
(972) 599-9600
Fax
(972) 599-9696
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD433637 PA
Pediatrics Physician 208000000X 4301084228 MI
Pediatrics Physician 208000000X M9719 TX Primary

Addresses

Primary practice location

5655 W Spring Creek Pkwy Ste 200
Plano, TX 75024-4175

Mailing address

PO Box 227102
Dallas, TX 75222-7102
Phone (972) 801-2140

Other practice location 1

145 N 6th St Fl 2
Reading, PA 19601
Phone (610) 208-4554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218004481 TX Practitioner - Pediatric Medicine 5294081246 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301084228MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Diagnostic Clinic CurrentSince Feb 3, 2025 Accepting new patients
North Texas Village Health Partners, PA Pediatrics CurrentSince Jan 8, 2023 Accepting new patients
The Austin Diagnostic Clinic, PLLC Current Accepting new patients
The Austin Diagnostic Clinic, PLLC CurrentSince Feb 3, 2025 Accepting new patients
The Austin Diagnostic Clinic, PLLC Past Accepting new patients
Catalyst Physician Group - NTX, PLLC Pediatrics PastSince Jan 8, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5701 W Slaughter Ln
Bldg C
Austin, TX 78749
Phone (512) 334-2504

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

5655 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

1330 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 805-0680

Interoperability endpoints

  • Direct secure messaging: priya.venkatesh@hca8.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1376768366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752227102",
            "telephone_number": "972-801-2140",
            "fax_number": "972-599-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 W SPRING CREEK PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244175",
            "telephone_number": "972-599-9600",
            "fax_number": "972-599-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 N 6th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "19601",
            "country_code": "US",
            "telephone_number": "610-208-4554",
            "fax_number": "610-378-2441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENKATESH",
        "first_name": "PRIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD433637",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301084228",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M9719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.