Individual provider Active NPI

Sujatha Venkatesh, MD

  • Nephrology Physician
  • Austin, TX
National Provider Identifier
1821028077
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L0674 Issued in TX
Practice address
321 W Ben White Blvd
Ste 205
Austin, TX 78704-7087
Phone
(512) 451-5800
Fax
(512) 459-1399
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X L0674 TX Primary

Addresses

Primary practice location

321 W Ben White Blvd
Ste 205
Austin, TX 78704-7087

Mailing address

408 W 45TH St
Austin, TX 78751-3014
Phone (512) 451-5800

Other identifiers 1

IdentifierTypeStateIssuer
45071002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20091215000354 TX Practitioner - NephrologyPractitioner - Internal Medicine 9234110578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Kidney Associates PAGroup PAC ID 1658511217, 33 clinicians

Practice addresses (Care Compare)

321 W Ben White
Suite 205
Austin, TX 78704-7087
Phone (512) 451-5800

Hospital & facility affiliations

  • DaVita South Austin Dialysis Center Dialysis facility, Austin, TX, CCN 452892
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Kidney Associates PA Nephrology CurrentSince Jun 1, 2013 Accepting new patients
Austin Kidney Associates, P. a. CurrentSince Jun 1, 2013 Accepting new patients
Gouache Dialysis LLC PastSince Nov 1, 2017 Accepting new patients
Western Nephrology & Metabolic Bone Disease, P.C. Nephrology PastSince Sep 20, 2020 Accepting new patients

Locations

408 W 45th St
Austin, TX 78751
Phone (512) 451-5800

321 W Ben White Blvd
Ste 205
Austin, TX 78704
Phone (512) 451-5800

8620 Burnet Rd
Ste 40
Austin, TX 78757
Phone (512) 334-1810

16010 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 275-0100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHACA
  • Direct secure messaging: svenkatesh39652@direct.davitaphysiciansolutions.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1821028077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-451-5800",
            "fax_number": "512-459-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W BEN WHITE BLVD",
            "address_2": "STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047087",
            "telephone_number": "512-451-5800",
            "fax_number": "512-459-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESH",
        "first_name": "SUJATHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L0674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45071002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.