Active NPI
Malathi Venkatesan, MD
- Internal Medicine Physician
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD67038
- Practice address
- 1845 Satellite Blvd
Suite 500
Duluth, GA 30097-5256 - Phone
- (404) 778-5220
- Fax
- (404) 778-6451
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD67038 | GA | Primary |
Addresses
Primary practice location
1845 Satellite Blvd
Suite 500
Duluth, GA 30097-5256
Mailing address
1845 Satellite Blvd
Suite 500
Duluth, GA 30097-5256
Phone (404) 778-5220
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001518398 | Other | HIGHMARK | |
| 1536140 | Other | GATEWAY | |
| 1784451 | Other | UNITED HEALTHCARE | |
| 6709237003 | Other | CIGNA | |
| 3359545 | Other | AETNA | |
| 01585449 | Medicaid | PA | |
| 043771728 | Other | HEALTH AMERICA | |
| 145688 | Other | UNISON | |
| 200195 | Other | UPMC | |
| 14517 | Other | ELDER HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Esop Rehabilitation LLC
Practice addresses (Care Compare)
1699 Hwy 124 N
Snellville, GA 30078-7921
Phone (678) 218-6702
300 Tower Rd NE
Suite 150
Marietta, GA 30060-9405
Phone (678) 594-0070
Hospital & facility affiliations
- Central Home Health Care, an Amedisys Company
- Emory Johns Creek Hospital
- Northside Hospital Gwinnett
- Emory University Hospital Midtown
- Saint Joseph'S Hospital of Atlanta, Inc
- Emory University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD67038 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Internal Medicine | Current | Accepting new patients |
| Emory Specialty Associates, LLC | Internal Medicine | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
1845 Satellite Blvd
Ste 500
Duluth, GA 30097
Phone (404) 778-5220
300 Tower Rd NE
Ste 150
Marietta, GA 30060
Phone (678) 594-0070
Interoperability endpoints
- mvenkatesan56763@direct.emory.org
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Internal Medicine
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucker, GA
- NPI 1477501179
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
- General Acute Care Hospital
- Johns Creek, GA
- NPI 1679632137
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1861403057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 SATELLITE BLVD",
"address_2": "SUITE 500",
"city": "DULUTH",
"state": "GA",
"postal_code": "300975256",
"telephone_number": "404-778-5220",
"fax_number": "404-778-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 SATELLITE BLVD",
"address_2": "SUITE 500",
"city": "DULUTH",
"state": "GA",
"postal_code": "300975256",
"telephone_number": "404-778-5220",
"fax_number": "404-778-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENKATESAN",
"first_name": "MALATHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "MD67038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "001518398",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1536140",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1784451",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6709237003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3359545",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01585449",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "043771728",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "145688",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "200195",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDER HEALTH",
"identifier": "14517",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.