Individual provider Active NPI

Karukurichi Venkatesh, MD

  • Colon & Rectal Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1891768677
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
9783 Issued in AZ
Practice address
2223 E Baseline Rd
Suite a
Gilbert, AZ 85234-2325
Phone
(480) 835-5302
Fax
(480) 844-2081
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 9783 AZ Primary

Addresses

Primary practice location

2223 E Baseline Rd
Suite a
Gilbert, AZ 85234-2325

Mailing address

2223 E Baseline Rd
Suite a
Gilbert, AZ 85234-2325
Phone (480) 835-5302

Other identifiers 1

IdentifierTypeStateIssuer
226838MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040803001045 AZ Practitioner - Colorectal Surgery (Proctology) 7214831734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricity Colo-Rectal Surgery LTDGroup PAC ID 5698759272, 4 clinicians

Practice addresses (Care Compare)

2223 E Baseline Rd
Suite a
Gilbert, AZ 85234-2336
Phone (480) 835-5302

2223 E Baseline Rd a
Gilbert, AZ 85234-2336

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy840
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Colo-Rectal Surgery LTD Colon & Rectal Surgery CurrentSince Jan 21, 1983 Accepting new patients
Banner Cancer Center Specialists LLC PastSince Aug 15, 2001 Accepting new patients

Locations

2223 E Baseline Rd
Ste A
Gilbert, AZ 85234
Phone (480) 461-2788

2223 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 289-5266

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1450 S Dobson Rd
#A205
Mesa, AZ 85202
Phone (480) 835-5302

6553 E Baywood Ave
Ste 212
Mesa, AZ 85206
Phone (480) 543-6750

Interoperability endpoints

  • Direct secure messaging: ksvenkatesh@tcs.gwaydirect.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.

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1891768677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 E BASELINE RD",
            "address_2": "SUITE A",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342325",
            "telephone_number": "480-835-5302",
            "fax_number": "480-844-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 E BASELINE RD",
            "address_2": "SUITE A",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342325",
            "telephone_number": "480-835-5302",
            "fax_number": "480-844-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESH",
        "first_name": "KARUKURICHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AZ",
            "license": "9783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226838",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.