1. Home
  2. Directory
  3. District Of Columbia
  4. Washington
  5. Urology
  6. NPI Profile

DR. KRISHNAN VENKATESAN M.D.
NPI 1245431998
Urology in Washington, DC

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
110 IRVING ST NW, WASHINGTON, DC 20010(202) 877-7011 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Krishnan Venkatesan M.d. NPPES

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

DR. KRISHNAN VENKATESAN M.D. (NPI 1245431998) is an individual urology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD040806) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2005).

NPPES Registry Identity

NPI1245431998
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. KRISHNAN VENKATESANCredential: M.D.
Location Address110 IRVING ST NWWashington, DC 20010-3017
Mailing Address110 Irving St NwWashington, DC 20010-3017 · (202) 877-7011
Phone(202) 877-7011
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2005
Enumeration DateMay 30, 2007
Last NPPES UpdateJanuary 24, 2019
✔ NPI 1245431998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in DC · MD040806
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
110 IRVING ST NW, Washington, DC 20010
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Krishnan Venkatesan M.d. 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 ID5395995054
PECOS Enrollment IDI20121016000205, I20230308000898
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.

Medicare Billing Reassignment

Medicare enrollment records show Krishnan Venkatesan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medstar Medical Group II LLC
Same address
Anesthesiology
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1376887844 (Maryland)
  • 3,530 clinicians in this Medicare group
NPI 1023836137 (703) 558-1403

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

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.
299 services195 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.
90 services60 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
53 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Simple change of bladder tube 51705
A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.
33 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims 5

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

Irrigation syringe, bulb or piston, each A4322
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims12 services$2.95 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
3 suppliers17 claims4,380 services$6.30 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers16 claims48 services$3.81 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$68.73 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.

MS. JANET E JUMPER N.P.
Nurse Practitioner (Acute Care)
110 IRVING ST NW, 4B42
WASHINGTON, DC 20010
District of Columbia (202) 877-7462
EMILY JEAN SIEGEL MD
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-8080
KIMBERLY SMITH
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (301) 902-1073
MISS ORE-OLUWA ODULANA LIMA DA SILVA CRNA
Nurse Anesthetist, Certified Registered
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. FAY HORNG M.D.
Anesthesiology
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. MICHAEL B SHVARTS MD
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000
DR. SCOTT THOMAS MARTYNA D.M.D.
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON, DC 20010
District of Columbia (202) 877-7332
MS. NOOR-UL-HUDA AMER MEHDI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000

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 Krishnan Venkatesan's NPI number?

The NPI number for Krishnan Venkatesan is 1245431998. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Krishnan Venkatesan located?

Krishnan Venkatesan practices at 110 Irving St NW, Washington, DC 20010. The listed phone number is (202) 877-7011.

What is Krishnan Venkatesan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Krishnan Venkatesan enrolled in Medicare?

Yes. Krishnan Venkatesan 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.

Which organization bills Medicare for Krishnan Venkatesan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krishnan Venkatesan reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krishnan Venkatesan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Krishnan Venkatesan was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.