Srividya Venkataraman, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

M3104 Issued in TX

Practice address

2811 Duke of Gloucester St
Suite 103
Desoto, TX 75115

Phone

(972) 274-5555

Fax

(972) 274-5663

NPI assigned

Sep 27, 2006

Last updated

Aug 25, 2011By the provider in NPPES

Sex

Female

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 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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dallas Renal Group, P.a.Group PAC ID 0244277283, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Usrc Premier Lancaster Dialysis facility, Lancaster, TX, CCN 672526
• Usrc Premier Charlton Dialysis facility, Dallas, TX, CCN 672751
• Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
• Methodist Rehabilitation Hospital Inpatient rehabilitation facility, Dallas, TX, CCN 673031

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEHCAD
• Direct secure messaging: srividya.venkataraman@drg.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dallas Renal Group PA

  • Nephrology Physician
  • Dallas, TX
  • NPI 1629186168
  Medicare reassignment Care Compare group NPD
• Waxld LLC

  dba Liberty Dialysis - Waxahachie

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Waxahachie, TX
  • NPI 1033423173
  NPD (past)

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

• DDC Partners, LLC

  dba Premier Dialysis - Charlton

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dallas, TX
  • NPI 1134465206

  Dialysis facility

  Care Compare affiliation Name & address match
• Lancaster Dialysis LLC

  dba Liberty Dialysis - Lancaster

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lancaster, TX
  • NPI 1013959683

  Dialysis facility

  Care Compare affiliation Name & address match
• Methodist Hospitals of Dallas

  dba Methodist Charlton Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131
  Care Compare affiliation
• MHS-CHC I LP

  dba Methodist Rehabilitation Hospital

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1487848941

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1871684928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 DUKE OF GLOUCESTER ST",
            "address_2": "SUITE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-274-5555",
            "fax_number": "972-274-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 DUKE OF GLOUCESTER ST",
            "address_2": "SUITE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-274-5555",
            "fax_number": "972-274-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATARAMAN",
        "first_name": "SRIVIDYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M3104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Vandenbroader
• Carolyn Jill Vandiver, MD
• Kochuparampil Thomas Varghese, MD
• Paloma Vela, COTA
• Rogelio Manuel Velazquez, LPC
• Jorden Mory Venturina, RN, BSN
• Vibra Specialty Hospital of Dallas, LLC (Vibra Specialty Hospital)
• Victoria N. Agbaroji (Ngozi Hospice Care)
• Village Circle Home Care LLC
• Village Connect

• Nephrology Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.