Active NPI
Vani Venkatachalam, MD, FAAP
- Pediatrics Physician
- Irving, TX
National Provider Identifier
1659685709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q5116
- Practice address
- 2651 Texas Dr Ste a
Irving, TX 75062-7016 - Phone
- (972) 893-1192
- NPI assigned
- Jul 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Q5116 | TX | Primary |
Addresses
Primary practice location
2651 Texas Dr Ste a
Irving, TX 75062-7016
Mailing address
111 Tennyson PL
Coppell, TX 75019-5358
Phone (434) 228-0388
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101254197 | Other | VA | LICENSE |
| Q5116 | Other | TX | LICENSE |
| 1518550474 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drvani@cacpeds.opdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130617000243 | VA | Order and Referring Only - Pediatric Medicine | 1254570690 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q5116 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VV Pedi Consults PLLC | Pediatrics | Current | Accepting new patients |
| MD Pediatric Associates, P.a. | Pediatrics | Past | Accepting new patients |
Locations
2651 Texas Dr
Ste A
Irving, TX 75062
Phone (972) 893-1192
2651 Texas Dr
Irving, TX 75062
Phone (972) 252-7521
1121 Kinwest Pkwy
Ste 150
Irving, TX 75063
Interoperability endpoints
- drvani@cacpeds.opdirect.net
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1659685709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 TENNYSON PL",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195358",
"telephone_number": "434-228-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 TEXAS DR STE A",
"city": "IRVING",
"state": "TX",
"postal_code": "750627016",
"telephone_number": "972-893-1192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENKATACHALAM",
"first_name": "VANI",
"name_prefix": "Dr.",
"credential": "MD, FAAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-31",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q5116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0101254197",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "Q5116",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518550474",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drvani@cacpeds.opdirect.net",
"affiliation": "N",
"address_1": "2651 Texas Dr Ste A",
"city": "Irving",
"state": "TX",
"country_code": "US",
"postal_code": "750627016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.