Individual provider Active NPI

Sridhar Venkatachalam, MD

  • Cardiovascular Disease Physician
  • Corpus Christi, TX
National Provider Identifier
1659509990
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
P9762 Issued in TX
Practice address
1521 S Staples St Ste 700
Corpus Christi, TX 78404-3160
Phone
(361) 888-8271
Fax
(361) 885-3699
NPI assigned
Jun 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P9762 TX
Cardiovascular Disease Physician 207RC0000X P9762 TX Primary

Addresses

Primary practice location

1521 S Staples St Ste 700
Corpus Christi, TX 78404-3160

Mailing address

1521 S Staples
Suite 700
Corpus Christi, TX 78404-3160
Phone (361) 888-8271

Other practice location 1

301 University Blvd
Route 0553
Galveston, TX 77555-0553
Phone (409) 772-1533

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
I20170721000138 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9537214564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1311 E General Cavazos Blvd
Kingsville, TX 78363-7123

1521 S Staples St
Suite 500
Corpus Christi, TX 78404-3150
Phone (361) 888-8271

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788
  • Christus Spohn Hospital Kleberg Hospital, Kingsville, TX, CCN 450163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9762TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2023 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Cardiology Associates of Corpus Christi Cardiovascular Disease CurrentSince Sep 1, 2017 Accepting new patients

Locations

1521 S Staples St
Ste 700
Corpus Christi, TX 78404
Phone (361) 888-8271

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: svenkatachalam358899@christushealth.direct-ci.net

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1659509990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES",
            "address_2": "SUITE 700",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043160",
            "telephone_number": "361-888-8271",
            "fax_number": "361-885-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST STE 700",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043160",
            "telephone_number": "361-888-8271",
            "fax_number": "361-885-3699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_2": "ROUTE 0553",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550553",
            "country_code": "US",
            "telephone_number": "409-772-1533",
            "fax_number": "409-772-4982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENKATACHALAM",
        "first_name": "SRIDHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P9762",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P9762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.