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ROHIT VENKATESAN MD
NPI 1609210285
Internal Medicine - Medical Oncology in Galveston, TX

Active since April 25, 2013PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
301 UNIVERSITY BLVD, GALVESTON, TX 77555(409) 772-1164(409) 772-3533 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2023, Nov 7, 2018, Jun 29, 2016 (3 updates tracked since 2016).

About Rohit Venkatesan Md NPPES

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

ROHIT VENKATESAN MD (NPI 1609210285) is an individual medical oncology provider in Galveston, Texas, licensed in Texas (R7920) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of Wayne State University School Of Medicine (2013).

NPPES Registry Identity

NPI1609210285
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameROHIT VENKATESANCredential: MD
Location Address301 UNIVERSITY BLVDGalveston, TX 77555-0565
Mailing Address301 University BlvdGalveston, TX 77555-0565 · (409) 772-1164 · Fax (409) 772-3533
Phone(409) 772-1164
Fax(409) 772-3533
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2013
Enumeration DateApril 25, 2013
Last NPPES UpdateMarch 4, 20233 updates tracked since enumeration
NPPES CertifiedMarch 4, 2023
✔ NPI 1609210285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in TX · R7920
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License BP10047128 (TX)
301 UNIVERSITY BLVD, Galveston, TX 77555
Open in Google Maps ↗

Other Identifiers 2

Medicaid386401902TX
Other386401903TX · Medicaid Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company and more.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

Rohit Venkatesan 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 ID7416204219
PECOS Enrollment IDI20180725002028
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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
109 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services16 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.
31 services22 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
18 services15 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$173.07 typical visit price
range $57.19 – $173.07
Typical copayment $43.26 (range $14.29 – $43.26)
Most-billed visit code 99205
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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.

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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Referred Medical Equipment & Supplies CMS DME claims

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims1,232 services$0.66 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.

AMY KATHERINE HAVERTY PNP
Nurse Practitioner (Pediatrics)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222
EVA NOVAK BLIGHT NNP
Nurse Practitioner (Neonatal)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222
DR. JENNIFER ANN MINNEMAN MD
Surgery (Trauma Surgery)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-1011
DR. JAMES HAROLD PAVELA MD
Internal Medicine
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-7063
DIAA HAMOUDA MBBCH
Psychiatry & Neurology (Neurology)
301 UNIVERSITY BLVD, JSA 9.128
GALVESTON, TX 77555
Galveston County (409) 772-8031
SOMMER KIRSCH CAUSEY MD
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-1221
RANDA ABDELMASIH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (832) 505-2300
HEATHER PENTON
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222

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 Rohit Venkatesan's NPI number?

The NPI number for Rohit Venkatesan is 1609210285. It was assigned to this individual provider in the NPPES registry on April 25, 2013.

Where is Rohit Venkatesan located?

Rohit Venkatesan practices at 301 University Blvd, Galveston, TX 77555. The listed phone number is (409) 772-1164.

What is Rohit Venkatesan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Rohit Venkatesan enrolled in Medicare?

Yes. Rohit 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.

What insurance does Rohit Venkatesan accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company and WellPoint list Rohit Venkatesan 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 Rohit Venkatesan affiliated with any hospitals?

According to CMS data, Rohit Venkatesan is affiliated with University Of Texas Medical Branch Galveston and Harris Health System.

When was this NPI record last updated?

The NPPES record for Rohit Venkatesan was last updated on March 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.