Shashikala K. Venkatachalapathy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0064595 Issued in MD

Practice address

100 E Carroll St
Salisbury, MD 21801-5493

Phone

(800) 749-5191

Fax

(410) 543-7165

NPI assigned

Oct 23, 2006

Last updated

Feb 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DE2 enrollments

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 2

Specialty

Psychiatry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bethany Primary CareGroup PAC ID 6901797927, 3 clinicians

HealthportGroup PAC ID 2365469947, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Healthport

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salisbury, MD
  • NPI 1154320646
  Medicare reassignment Care Compare group NPD
• Bethany Primary Care

  • Internal Medicine Physician
  • Bethany Beach, DE
  • NPI 1508872052

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Tidalhealth Specialty Care, LLC

  • Medical Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1619504735
  Medicare reassignment NPD
• Tidalhealth Peninsula Regional, Inc.

  • Family Medicine Physician
  • Salisbury, MD
  • NPI 1184832040
  Medicare reassignment
• Delmarva Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Berlin, MD
  • NPI 1922566066
  NPD
• Healthport

  • Primary Care Clinic/Center
  • Princess Anne, MD
  • NPI 1487452934
  NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1669555462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015493",
            "telephone_number": "410-546-6400",
            "fax_number": "410-938-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015493",
            "telephone_number": "800-749-5191",
            "fax_number": "410-543-7165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30265 Commerce Dr Unit 206",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199663595",
            "country_code": "US",
            "telephone_number": "302-732-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENKATACHALAPATHY",
        "first_name": "SHASHIKALA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C10009184",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0064595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411856100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farah Vangenderen, LCSW-C
• Victoria A Vargas, LCSW-C
• Soji Mathew Varghese, MBBS
• Hailey Vaughn
• Vel Natesan MD PA
• Andrew Dionysios Vennos, M.D.
• Vernon Powell Shoe Company (Pedorthics Department)
• Michele D Vernon, CRNP
• Elizabeth Jean Verplank, L.AC
• Natalie Elaine Vestal, MAOM, LIS. AC

• Psychiatry Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.