Active NPI
Venkataraman Sambasivan, MD, FACC
- Cardiovascular Disease Physician
- Pasco, WA
National Provider Identifier
1427068915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD00030872
- Practice address
- 1200 N 14TH Ave Ste 295
Pasco, WA 99301-4195 - Phone
- (509) 547-2413
- NPI assigned
- Aug 8, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD00030872 | WA | Primary |
Addresses
Primary practice location
1200 N 14TH Ave Ste 295
Pasco, WA 99301-4195
Mailing address
1200 N 14TH Ave Ste 295
Pasco, WA 99301-4195
Phone (509) 547-2413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7051089 | Medicaid | WA |
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 |
|---|---|---|---|
| MD00030872 | WA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lourdes Hospital at Pasco | Past | Accepting new patients | |
| Lourdes Hospital LLC | Past | Accepting new patients |
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.
-
dba Lourdes Urgent Care Radiology
- Diagnostic Radiology Physician
- Pasco, WA
- NPI 1639503774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427068915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N 14TH AVE STE 295",
"city": "PASCO",
"state": "WA",
"postal_code": "993014195",
"telephone_number": "509-547-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N 14TH AVE STE 295",
"city": "PASCO",
"state": "WA",
"postal_code": "993014195",
"telephone_number": "509-547-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMBASIVAN",
"first_name": "VENKATARAMAN",
"credential": "MD, FACC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00030872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7051089",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.