Active NPI
Venkatesh Perumal Krishnasamy, M.D.
- Vascular & Interventional Radiology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 48618
- Practice address
- Uab Department of Radiology 619 19TH St South NHB H623
Birmingham, AL 35249-3609 - Phone
- (205) 934-4011
- NPI assigned
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 82747 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD040553 | DC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | A126204 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 313342 | NY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 48618 | AL | Primary |
Addresses
Primary practice location
Uab Department of Radiology 619 19TH St South NHB H623
Birmingham, AL 35249-3609
Mailing address
Uab Dept of Radiology 619 19TH St South NHB H623
Birmingham, AL 35249-0001
Other practice location 1
1150 NW 14th St Ste 508
Miami, FL 33136-2116
Phone (330) 701-6765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Northeastern Ohio University College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460
Hospital & facility affiliations
- University of Alabama Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126204 | CA | MD | Vascular & Interventional Radiology Physician |
| MD040553 | DC | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt University Medical Center | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
619 19th St S
#H623
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35249
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
Dept A T 40379
Atlanta, GA 31192
200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034
719 Thompson Ln
Ste 23300
Nashville, TN 37204
Phone (615) 936-3606
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871
Interoperability endpoints
- vpkrishnasamy@direct.uabmedicine.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1932307295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UAB DEPT OF RADIOLOGY 619 19TH ST SOUTH NHB H623",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352490001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UAB DEPARTMENT OF RADIOLOGY 619 19TH ST SOUTH NHB H623",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352493609",
"telephone_number": "205-934-4011"
}
],
"practiceLocations": [
{
"address_1": "1150 NW 14th St Ste 508",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331362116",
"country_code": "US",
"telephone_number": "330-701-6765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRISHNASAMY",
"first_name": "VENKATESH",
"middle_name": "PERUMAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "82747",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "DC",
"license": "MD040553",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A126204",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "313342",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AL",
"license": "48618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.