Active NPI
Jayaraman Venkatesan, MD
- Interventional Cardiology Physician
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 91781
- Practice address
- 1412 Milstead Ave NE Ste 100
Conyers, GA 30012-3877 - Phone
- (770) 483-9330
- NPI assigned
- Mar 8, 2011
- Last updated
- Aug 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101256488 | VA | |
| Interventional Cardiology Physician | 207RI0011X | 0101256488 | VA | |
| Interventional Cardiology Physician | 207RI0011X | 91781 | GA | Primary |
Addresses
Primary practice location
1412 Milstead Ave NE Ste 100
Conyers, GA 30012-3877
Mailing address
1412 Milstead Ave NE Ste 100
Conyers, GA 30012-3877
Phone (770) 483-9330
Other practice location 1
1030 Hillpoint Blvd N
Suffolk, VA 23434-8470
Phone (757) 539-0444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Cardiovascular Disease | Current | Accepting new patients |
| Cardiovascular Institute of the South, LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1412 Milstead Ave NE
Ste 100
Conyers, GA 30012
Phone (770) 483-9330
2151 W Spring St
Ste B220
Monroe, GA 30655
Phone (770) 267-1895
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200
8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462
1030 Hillpoint Blvd N
Suffolk, VA 23434
Phone (757) 539-0444
5838 Harbour View Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 541-1050
7007 Harbour View Blvd
Ste 108
Suffolk, VA 23435
Phone (757) 215-2784
Organizations & group practices 4
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.
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
-
dba Southampton Orthopaedic and Sports Medicine Center
- Durable Medical Equipment & Medical Supplies
- Franklin, VA
- NPI 1205451028
-
- Cardiovascular Disease Physician
- Houma, LA
- NPI 1982689113
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Newton Medical Center
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
-
- General Acute Care Hospital
- Monroe, GA
- NPI 1720589328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1679871180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 MILSTEAD AVE NE STE 100",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123877",
"telephone_number": "770-483-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 MILSTEAD AVE NE STE 100",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123877",
"telephone_number": "770-483-9330"
}
],
"practiceLocations": [
{
"address_1": "1030 Hillpoint Blvd N",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234348470",
"country_code": "US",
"telephone_number": "757-539-0444",
"fax_number": "757-539-4824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENKATESAN",
"first_name": "JAYARAMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-08",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101256488",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "VA",
"license": "0101256488",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "91781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.
- 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.