Ayyappan Venkatraman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD465346 Issued in PA

Practice address

804 S 5TH St FL 2
Philadelphia, PA 19147-3008

Phone

(201) 778-0024

Fax

(252) 588-5453

NPI assigned

Apr 6, 2016

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 7, 2021 through Jun 7, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1861856817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S 5TH ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473008",
            "telephone_number": "301-412-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S 5TH ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473008",
            "telephone_number": "201-778-0024",
            "fax_number": "252-588-5453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Market St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043309",
            "country_code": "US",
            "telephone_number": "215-746-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENKATRAMAN",
        "first_name": "AYYAPPAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD465346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atheendar S. Venkataramani, MD, PHD
• Bethanne Lee Venkatesan
• Anisha Venkatesh, DO
• Nalini Venkateswaran, NALINI VENKATESWARAN
• Chinmayi Venkatram, MD
• Amber Venti
• Clifton Ventour
• Courtney Ventura-Plantz
• Patricia Ventura, LCSW
• Yevgeniya Ventura, M.ED., MA

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.