Individual provider Active NPI

Pranav Venkataraman, MD

  • Cardiovascular Disease Physician
  • Aventura, FL
National Provider Identifier
1639601958
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME161707 Issued in FL
Practice address
2845 Aventura Blvd
Aventura, FL 33180-3118
Phone
(305) 692-1010
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X ME161707 FL Primary

Addresses

Primary practice location

2845 Aventura Blvd
Aventura, FL 33180-3118

Mailing address

2845 Aventura Blvd
Aventura, FL 33180-3118
Phone (425) 301-0195

Other practice location 1

1 Medical Center Dr
DHMC Department of Internal Medicine
Lebanon, NH 03756-1000
Phone (425) 301-0195

Other practice location 2

2001 Crystal Spring Ave SW Ste 203
Roanoke, VA 24014-2465
Phone (540) 982-8204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230727000742 FL Practitioner - Cardiovascular Disease (Cardiology) 6406127224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Eastern Virginia Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai Medical Center Cardiology LLCGroup PAC ID 6800953118, 41 clinicians

Practice addresses (Care Compare)

2845 Aventura Blvd
Suite 245
Aventura, FL 33180-3120
Phone (305) 692-1080

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
70.29
Promoting interoperability
100
Improvement activities
40
Cost
73.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME161707FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Medical Center Cardiology LLC CurrentSince Aug 14, 2023 Accepting new patients

Locations

2845 Aventura Blvd
Ste 245
Aventura, FL 33180
Phone (305) 466-7333

4300 Alton Rd
Ste 2070
Miami Beach, FL 33140
Phone (305) 674-2609

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • Direct secure messaging: pvenkataraman91316@direct.msmc.com

Organizations & group practices 1

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 1

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1639601958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 AVENTURA BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803118",
            "telephone_number": "425-301-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 AVENTURA BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803118",
            "telephone_number": "305-692-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "DHMC Department of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "425-301-0195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Crystal Spring Ave SW Ste 203",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240142465",
            "country_code": "US",
            "telephone_number": "540-982-8204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENKATARAMAN",
        "first_name": "PRANAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME161707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.