Gopikrishna Venkatesvaran, MBBS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

350 Boulevard, St Mary'S General Hospital
Passaic, NJ 07055

Phone

(973) 365-4300

NPI assigned

Jul 12, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Internal Medicine

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairview HospitalGroup PAC ID 1254240773, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Berkshire Visiting Nurse Association Home health agency, Pittsfield, MA, CCN 227122
• Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
• Centerwell Home Health Home health agency, Pittsfield, MA, CCN 227219
• Hospicecare in the Berkshires Hospice, Pittsfield, MA, CCN 221531
• Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
• Fairview Hospital Hospital, Great Barrington, MA, CCN 221302

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Fairview Hospital

  • Critical Access Hospital
  • Great Barrington, MA
  • NPI 1942474176
  Medicare reassignment Care Compare group NPD
• Berkshire Faculty Services Inc

  • Multi-Specialty Clinic/Center
  • Pittsfield, MA
  • NPI 1548212939
  Medicare reassignment NPD
• Fairview Hospital

  • Rural Health Clinic/Center
  • North Adams, MA
  • NPI 1639737042
  NPD
• Fairview Hospital

  • Rural Health Clinic/Center
  • Great Barrington, MA
  • NPI 1881252286
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Care Compare affiliation
• Berkshire Medical Center, Inc.

  • Home Health Agency
  • Pittsfield, MA
  • NPI 1205948973
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Pittsfield, MA
  • NPI 1790718427
  Care Compare affiliation
• Fairview Hospital

  • Critical Access Hospital
  • Great Barrington, MA
  • NPI 1730112251
  Care Compare affiliation
• Hospicecare in the Berkshires, Inc.

  • Community Based Hospice Care Agency
  • Pittsfield, MA
  • NPI 1457358533
  Care Compare affiliation
• Tender Loving Care Health Care Services of New England, LLC

  • Home Health Agency
  • Agawam, MA
  • NPI 1770537847
  Care Compare affiliation

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1730751652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 POCONO ROAD, SAINT CLARE'S DENVILLE HOSPITAL",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD, ST MARY'S GENERAL HOSPITAL",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "973-365-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESVARAN",
        "first_name": "GOPIKRISHNA",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bibiana Vazquez
• Andres Vega, PA-C
• Natalie Velazquez, O.D.
• Irving Velez, M.ED., NCC,
• Ravi Kumar Venkataraman, MD
• Evelyn Ventura, MD
• Juan Camilo Victoria
• Amarilis Villanueva, APN
• Cassandra Vincent, PA
• Olga Vinnik, RN, BSN, IBCLC

• Student in an Organized Health Care Education/Training Program in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.