Individual provider Active NPI

Venkatesh Janakiraman, M.D.

  • Neurology Physician
  • Bakersfield, CA
National Provider Identifier
1629331988
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A140162 Issued in CA
Practice address
3400 Calloway Dr Ste 100
Bakersfield, CA 93312-2513
Phone
(661) 497-7999
Fax
(661) 766-3876
NPI assigned
Jun 21, 2012
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A140162 CA Primary

Addresses

Primary practice location

3400 Calloway Dr Ste 100
Bakersfield, CA 93312-2513

Mailing address

3400 Calloway Dr Ste 100
Bakersfield, CA 93312-2513
Phone (609) 254-6112

Other identifiers 1

IdentifierTypeStateIssuer
A140162OtherCACALIFORNIA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170818001195 CA Practitioner - Neurology 5698907673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jey Neuro Center IncGroup PAC ID 8820401649, 3 clinicians

Practice addresses (Care Compare)

3400 Calloway Dr
Suite 100
Bakersfield, CA 93312-2513
Phone (661) 776-3876

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
37.24 of 100Reported as individual
Quality
21.67
Improvement activities
0
Cost
70.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jey Neuro Center, Inc Neurology CurrentSince Apr 1, 2020 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Bakersfield Community Hospice, Inc. PastSince Mar 21, 2021 Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
California Neurosurgery and Spine Past Accepting new patients

Locations

3400 Calloway Dr
Ste 100
Bakersfield, CA 93312
Phone (651) 497-7999

6077 Coffee Rd
Ste 4
Bakersfield, CA 93308
Phone (661) 463-6804

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629331988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122513",
            "telephone_number": "609-254-6112",
            "fax_number": "888-697-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122513",
            "telephone_number": "661-497-7999",
            "fax_number": "661-766-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANAKIRAMAN",
        "first_name": "VENKATESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A140162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "A140162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.