Roma H Venkatesan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209013761 Issued in IL

Practice address

800 Biesterfield Road Cancer Institute
Suite 120
Elk Grove Village, IL 60007

Phone

(847) 952-7929

Fax

(630) 893-1467

NPI assigned

Feb 23, 2016

Last updated

Dec 12, 2018By 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 1

Addresses

Other identifiers 1

Other names 1

• Roma H Venkatesan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1700245438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD ROAD CANCER INSTITUTE",
            "address_2": "SUITE 120",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-952-7929",
            "fax_number": "630-893-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD ROAD CANCER INSTITUTE",
            "address_2": "SUITE 120",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-952-7929",
            "fax_number": "630-893-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESAN",
        "first_name": "ROMA",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209013761",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMA",
            "last_name": "VENKATESAN",
            "middle_name": "H",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Conrad Grant Vanhazebroeck, D.O.
• Virginia Vazquez
• Aimee C Vega, R.H.I.T
• Raymond Velez
• Sarah H. Venamore, P.A.-C
• Rina Verma, MD
• Loren Versheldon, PA
• Village Eye Physicians
• Village of Elk Grove Village
• Village of Elk Grove Village

• Family Nurse Practitioner in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.