Pushpalatha Tirumale Venkataraman, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.003757 Issued in OH

Practice address

801 E Washington St
Suite 150
Medina, OH 44256-3335

Phone

(330) 722-1069

NPI assigned

Mar 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossroads HealthGroup PAC ID 9638440241, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pushpalatha.venkataraman.p1@direct.crh.nextgenshare.com

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.

• Crossroads Health

  • Adolescent and Children Mental Health Clinic/Center
  • Mentor, OH
  • NPI 1356303911
  Medicare reassignment Care Compare group NPD
• Laurelwood Associates Inc

  • Counselor
  • Willoughby, OH
  • NPI 1346282001
  Medicare reassignment
• Nirvana Health & Wellness Inc

  • Psychiatry Physician
  • Westlake, OH
  • NPI 1982140679
  Medicare reassignment
• Rakesh Ranjan M.D. & Assoc., Inc.

  • Clinical Medical Laboratory
  • Garfield Heights, OH
  • NPI 1033143722
  Medicare reassignment
• Rakesh Ranjan MD & Associates, Inc.

  • Specialty Pharmacy
  • Garfield Heights, OH
  • NPI 1225435597
  NPD

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1477895035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606412",
            "telephone_number": "440-354-9924",
            "fax_number": "877-242-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WASHINGTON ST",
            "address_2": "SUITE 150",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563335",
            "telephone_number": "330-722-1069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9220 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440606412",
            "country_code": "US",
            "telephone_number": "440-354-9924",
            "fax_number": "877-242-9583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENKATARAMAN",
        "first_name": "PUSHPALATHA",
        "middle_name": "TIRUMALE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Janine Vasicek, BS, LCDC III, GAMBP
• Rose Vasilakis
• Joselyn Vasquez, MSSA, LISW
• Holly Deanne Vavlas, LPC
• Roy Vellanki, MD
• Molly Nicole Verhoff, PA-C
• Ann Marie Vetter, PA
• Daniel P Videc, LSW
• F Michelle Villeneuve, LPN
• Katelynn Vincent, PRS

• Physician Assistant in Medina, OH
• Providers in Medina, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.