Individual provider Active NPI

Venkat Sethuraman, M.D

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
National Provider Identifier
1659378305
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
N6010 Issued in TX
Practice address
3450 Forest LN Ste 200
Dallas, TX 75234-7714
Phone
(972) 741-7189
Fax
(214) 484-7568
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X N6010 TX Primary

Addresses

Primary practice location

3450 Forest LN Ste 200
Dallas, TX 75234-7714

Mailing address

3450 Forest LN Ste 200
Dallas, TX 75234-7714
Phone (972) 741-7189

Other identifiers 1

IdentifierTypeStateIssuer
N6010OtherTXMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christy_jenkins@spinephysiciansinstitute.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100701000453 TX Practitioner - Orthopedic Surgery 9638137508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Pennsylvania, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3450 Forest LN
Suite 200
Dallas, TX 75234-7714
Phone (972) 741-7189

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion53
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6010TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Physicians Institute Professional Association Orthopaedic Surgery of the Spine CurrentSince Sep 13, 2011 Accepting new patients
Medcare Family and Sports Medicine PLLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

6407 S Cooper St
Ste 117
Arlington, TX 76001
Phone (469) 482-0861

3450 Forest Ln
Ste 200
Dallas, TX 75234
Phone (214) 808-7447

12200 Park Central Dr
Ste 135
Dallas, TX 75251
Phone (214) 427-5703

6101 Windhaven Pkwy
Ste 145
Plano, TX 75093
Phone (888) 382-0161

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 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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1659378305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 FOREST LN STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347714",
            "telephone_number": "972-741-7189",
            "fax_number": "214-614-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 FOREST LN STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347714",
            "telephone_number": "972-741-7189",
            "fax_number": "214-484-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHURAMAN",
        "first_name": "VENKAT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "N6010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "N6010",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christy_jenkins@spinephysiciansinstitute.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office",
            "address_1": "3450 Forest Ln Ste 200",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752347714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.