Kalyan R. Venkat, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

136378-1 Issued in NY

Practice address

40 Hurley Ave
Suite 17
Kingston, NY 12401-3739

Phone

(845) 338-3212

Fax

(845) 339-0299

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

Yes

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

• Dr. Kalyan Asundaram Venkataraman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kingston Surgical, PLLC

  • Surgery Physician
  • Kingston, NY
  • NPI 1700950326
  NPD (past) Authorized official
• Kingston Urological Associates

  • Urology Physician
  • Kingston, NY
  • NPI 1437223153
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730178377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE",
            "address_2": "SUITE 17",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013739",
            "telephone_number": "845-338-3212",
            "fax_number": "845-339-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE",
            "address_2": "SUITE 17",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013739",
            "telephone_number": "845-338-3212",
            "fax_number": "845-339-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKAT",
        "first_name": "KALYAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "136378-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00573331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALYAN",
            "last_name": "VENKATARAMAN",
            "middle_name": "ASUNDARAM",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rochak Varma, M.D.
• Vassar Brothers Hospital Ulster Radiation Oncology Center
• Renee Leigh Vaughn, LMT, NCTMB
• Mark Vecchio
• Jose Roberto Veloso de Araujo, LMSW
• Ivan Verde-Sanchez, M.D
• Joyce Marcley Vergili, ED.D., R.D., C.D.E.
• Emily McMillan Vetrano, LMSW
• Julio R Vieira, MD, MS
• Jeffrey Scott Viglielmo, DDS

• Surgery Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.