Active NPI
Karthikeyan Venkatachalam, M.D
- Nephrology Physician
- Saint Louis, MO
National Provider Identifier
1760747430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2026027542
- Practice address
- 1201 S Grand Blvd
Saint Louis, MO 63104-1016 - Phone
- (314) 617-2000
- NPI assigned
- Jul 9, 2012
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 30294 | MS | |
| Nephrology Physician | 207RN0300X | 2026027542 | MO | Primary |
| Nephrology Physician | 207RN0300X | 30294 | MS |
Addresses
Primary practice location
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Mailing address
102 Riverview Dr Ste a
Flowood, MS 39232-8908
Phone (601) 981-1610
Other practice location 1
102 Riverview Dr Ste A
Flowood, MS 39232-8908
Phone (601) 981-1610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30294 | Other | MS | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, MO
- 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
- Nephrology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Riverview Dr
Suite a
Flowood, MS 39232-8908
Phone (601) 981-1610
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP206 | KY | MD | Family Medicine Physician |
| 30294 | MS | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Nephrology Clinic PLLC | Nephrology | Current | Accepting new patients |
| Tennessee GYN | Past | Accepting new patients |
Locations
102 Riverview Dr
#A
Flowood, MS 39232
Phone (601) 981-1610
Interoperability endpoints
- kvenkatachalam41735@direct.acumenmd.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Flowood, MS
- NPI 1942576277
-
- Gynecology Physician
- Knoxville, TN
- NPI 1699015727
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Mid Mississippi
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jackson, MS
- NPI 1417481755
Dialysis facility
-
dba Bma Southwest Jackson
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jackson, MS
- NPI 1770695520
Dialysis facility
-
dba Fresenius Medical Care Lakeland Home Program
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Flowood, MS
- NPI 1497193023
Dialysis facility
-
- Critical Access Hospital
- Yazoo City, MS
- NPI 1619918075
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1760747430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 RIVERVIEW DR STE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328908",
"telephone_number": "601-981-1610",
"fax_number": "601-366-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041016",
"telephone_number": "314-617-2000"
}
],
"practiceLocations": [
{
"address_1": "102 Riverview Dr Ste A",
"address_purpose": "LOCATION",
"city": "Flowood",
"state": "MS",
"postal_code": "392328908",
"country_code": "US",
"telephone_number": "601-981-1610",
"fax_number": "601-366-2887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENKATACHALAM",
"first_name": "KARTHIKEYAN",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-09",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MS",
"license": "30294",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MO",
"license": "2026027542",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MS",
"license": "30294",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "30294",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.