NPIMap

Organization Active NPI

Vel Natesan MD PA

  • Internal Medicine Physician
  • Salisbury, MD
National Provider Identifier
1417978362
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VEL NATESAN MD PA
Practice address
951 Mount Hermon Rd Ste a
Salisbury, MD 21804-5159
Phone
(410) 749-4400
Fax
(410) 749-0847
NPI assigned
Jul 23, 2006
Last updated
Oct 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Dr. Vel Natesan, M.D.NPI 1457372310
Title
President
Phone
(410) 749-4400

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

951 Mount Hermon Rd Ste a
Salisbury, MD 21804-5159

Mailing address

951 Mount Hermon Rd Ste a
Salisbury, MD 21804-5159
Phone (410) 749-4400

Other identifiers 2

IdentifierTypeStateIssuer
LT64VAOtherMDBLUE SHIELD
767504600MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415000363 MD Part B Supplier - Clinic/Group Practice 3577558063 Receives reassigned benefits from 11 practitioners
Practice locations: Salisbury, MD

National Provider Directory

National Provider Directory

Locations

1415 S Division St
Ste B
Salisbury, MD 21804
Phone (410) 749-1600

951 Mount Hermon Rd
Salisbury, MD 21804
Phone (410) 749-4400

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1417978362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 MOUNT HERMON RD STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045159",
            "telephone_number": "410-749-4400",
            "fax_number": "410-749-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MOUNT HERMON RD STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045159",
            "telephone_number": "410-749-4400",
            "fax_number": "410-749-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEL NATESAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "NATESAN",
        "authorized_official_first_name": "VEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-749-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "LT64VA",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767504600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.