THILAGAVATHI VENKATACHALAM MD
NPI 1124213442
Internal Medicine - Nephrology in Miami, FL

Active since September 10, 2007PECOS EnrolledAccepts Medicare Assignment
1801 NW 9TH AVE, MIAMI, FL 33136(305) 355-5000(305) 355-5235 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2023, Feb 25, 2021, Jan 10, 2019 (3 updates tracked since 2019).

About Thilagavathi Venkatachalam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THILAGAVATHI VENKATACHALAM MD (NPI 1124213442) is an individual nephrology provider in Miami, Florida, licensed in Florida (170785) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124213442
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameTHILAGAVATHI VENKATACHALAMCredential: MD
Location Address1801 NW 9TH AVEMiami, FL 33136-1101
Mailing Address1801 Nw 9th AveMiami, FL 33136-1101 · (305) 355-5000 · Fax (305) 355-5235
Fax(305) 355-5235
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 10, 2007
Last NPPES UpdateOctober 22, 20243 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
NPI 1124213442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in FL · 170785 Licensed in NM · FELMD2021-059 Licensed in AZ · 69779 Licensed in TX · R9160
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1801 NW 9TH AVE, Miami, FL 33136

Secondary Practice Locations 3

Location 113400 E Shea BlvdScottsdale, AZ 85259-5499 · Phone (480) 301-8000
Location 23821 MASTHEAD ST NEALBUQUERQUE, NM 87109-4679 · Phone (505) 998-7400 · Fax (505) 998-7741
Location 3701 S Zarzamora StSan Antonio, TX 78207-5209 · Phone (210) 358-7578 · Fax (210) 358-7129

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thilagavathi Venkatachalam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315023751
PECOS Enrollment IDI20241022002928
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers13 claims1,620 services$0.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers16 claims21 services$12.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1801 NW 9TH AVE
MIAMI, FL 33136
Nurse Practitioner (Acute Care)
1801 NW 9TH AVE
MIAMI, FL 33136
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1801 NW 9TH AVE
MIAMI, FL 33136
Internal Medicine (Nephrology)
1801 NW 9TH AVE
MIAMI, FL 33136
Nurse Practitioner (Family)
1801 NW 9TH AVE
MIAMI, FL 33136
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1801 NW 9TH AVE
MIAMI, FL 33136
Nurse Practitioner (Family)
1801 NW 9TH AVE
MIAMI, FL 33136
General Acute Care Hospital (Critical Access)
1801 NW 9TH AVE, 5TH FLOOR
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thilagavathi Venkatachalam's NPI number?

The NPI number for Thilagavathi Venkatachalam is 1124213442. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Where is Thilagavathi Venkatachalam located?

Thilagavathi Venkatachalam practices at 1801 NW 9th Ave, Miami, FL 33136. The listed phone number is (305) 355-5000.

What is Thilagavathi Venkatachalam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Thilagavathi Venkatachalam enrolled in Medicare?

Yes. Thilagavathi Venkatachalam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thilagavathi Venkatachalam accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Thilagavathi Venkatachalam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thilagavathi Venkatachalam affiliated with any hospitals?

According to CMS data, Thilagavathi Venkatachalam is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Thilagavathi Venkatachalam was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.