Individual provider Active NPI

Vijaya Venkataraman, M.D.

  • Nephrology Physician
  • Lancaster, OH
National Provider Identifier
1609989284
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35088209 Issued in OH
Practice address
618 Pleasantville Rd Ste 103
Lancaster, OH 43130-3325
Phone
(740) 475-0502
Fax
(740) 689-8648
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Specialists, LLC 6 clinicians

Practice addresses (Care Compare)

618 Pleasantville Rd
Suite 101
Lancaster, OH 43130-3325
Phone 74065375113132

Hospital & facility affiliations

  • Fairfield Kidney Center Dialysis facility, Lancaster, OH, CCN 362693
  • DaVita Logan Dialysis Dialysis facility, Logan, OH, CCN 362732
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Hocking Valley Community Hospital Hospital, Logan, OH, CCN 361330
  • Ohiohealth O'Bleness Hospital Hospital, Athens, OH, CCN 360014
  • Holzer Medical Center Hospital, Gallipolis, OH, CCN 360054
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

Merit-based Incentive Payment System (MIPS)

Final score
86.69 of 100Reported as group
Quality
67.87
Promoting interoperability
93
Improvement activities
40
Cost
81.51

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060925000002 OH Practitioner - Nephrology 3375548464 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Specialists, LLC CurrentSince Aug 1, 2017 Accepting new patients
Cardiovascular Specialists, LLC CurrentSince Aug 1, 2017 Accepting new patients
Cardiovascular Specialists, LLC Nephrology Current Accepting new patients

Locations

7901 Diley Rd
Ste 260
Canal Wnchstr, OH 43110
Phone (614) 833-0000

618 Pleasantville Rd
Ste 102
Lancaster, OH 43130
Phone (740) 475-0502

618 Pleasantville Rd
Ste 103
Lancaster, OH 43130
Phone (740) 475-0502

618 Pleasantville Rd
Ste 101
Lancaster, OH 43130
Phone (740) 475-0501

Interoperability endpoints

  • Direct secure messaging: vijaya.venkataraman@csl.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35088209 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

618 Pleasantville Rd Ste 103
Lancaster, OH 43130-3325

Mailing address

618 Pleasantville Rd
Ste 101
Lancaster, OH 43130-3325
Phone (614) 823-8500

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2686142MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609989284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PLEASANTVILLE RD",
            "address_2": "STE 101",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303325",
            "telephone_number": "614-823-8500",
            "fax_number": "614-823-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PLEASANTVILLE RD STE 103",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303325",
            "telephone_number": "740-475-0502",
            "fax_number": "740-689-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATARAMAN",
        "first_name": "VIJAYA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35088209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2686142",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.