Shanmugasundaram, Venkatachalam

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SHANMUGASUNDARAM, VENKATACHALAM

Practice address

10131 W Forest Hill Blvd Ste 201
Wellington, FL 33414-6109

Phone

(561) 798-6767

Fax

(561) 795-2706

NPI assigned

Apr 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. V S Sundaram, MD

Title

Doctor of Medicine

Phone

(561) 798-6767

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• V S Sundaram MD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venkatachalam Shanmugasundaram, MD

  • Otolaryngology Physician
  • Wellington, FL
  • NPI 1821083031
  NPD

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1447870977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 W FOREST HILL BLVD STE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146109",
            "telephone_number": "561-798-6767",
            "fax_number": "561-795-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 W FOREST HILL BLVD STE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146109",
            "telephone_number": "561-798-6767",
            "fax_number": "561-795-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANMUGASUNDARAM, VENKATACHALAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "SUNDARAM",
        "authorized_official_first_name": "V S",
        "authorized_official_title_or_position": "DOCTOR OF MEDICINE",
        "authorized_official_telephone_number": "561-798-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "61449",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "00446",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040885901",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1002118",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "00446",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD PARTNERS",
            "identifier": "3370WELL",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0854223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0067235",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "V S Sundaram MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neerav S Shah, MD
• Pooja Shah, PHARMD
• Rajshree Shah, MSN
• Susan Mindy Shamaskin, DO
• Majid A Shams, PH.D.
• Venkatachalam Shanmugasundaram, MD
• Andrew Justin Shapiro, M.D.
• Richard J Shapiro, D.O.
• Shari Calderwood Counseling Services, LLC
• Shekhar Veerubhotla Sharma, M.D.

• Otolaryngology Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.