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MRS. VIJAYA VENKATARAMAN M.D.
NPI 1609989284
Internal Medicine - Nephrology in Lancaster, OH

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
22.77/100
CMS Quality Rating
618 PLEASANTVILLE RD STE 103, LANCASTER, OH 43130(740) 475-0502(740) 689-8648 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 8, 2017 (2 updates tracked since 2017).

About Mrs. Vijaya Venkataraman M.d. NPPES

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

MRS. VIJAYA VENKATARAMAN M.D. (NPI 1609989284) is an individual nephrology provider in Lancaster, Ohio, licensed in Ohio (35088209) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Ohiohealth O'bleness Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1609989284
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMRS. VIJAYA VENKATARAMANCredential: M.D.
Location Address618 PLEASANTVILLE RD STE 103Lancaster, OH 43130-3325
Mailing Address618 Pleasantville Rd, Ste 101Lancaster, OH 43130-3325 · (614) 823-8500 · Fax (614) 823-8501
Phone(740) 475-0502
Fax(740) 689-8648
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1609989284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OH · 35088209
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.
618 PLEASANTVILLE RD STE 103, Lancaster, OH 43130
Open in Google Maps ↗

Other Identifiers 1

Medicaid2686142OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mrs. Vijaya Venkataraman 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 ID3375548464
PECOS Enrollment IDI20060925000002
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 7

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.
387 services110 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.
323 services191 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
140 services106 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
73 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 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.
36 services28 patients

Hospital Affiliations CMS Care Compare 5

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

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361330
Location601 State Route 664NLogan, OH 43138 · Hocking County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

22.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost75.91

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,440 services$0.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Vijaya Venkataraman's NPI number?

The NPI number for Vijaya Venkataraman is 1609989284. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Vijaya Venkataraman located?

Vijaya Venkataraman practices at 618 Pleasantville Rd Ste 103, Lancaster, OH 43130. The listed phone number is (740) 475-0502.

What is Vijaya Venkataraman's specialty?

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

Is Vijaya Venkataraman enrolled in Medicare?

Yes. Vijaya Venkataraman 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 Vijaya Venkataraman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Vijaya Venkataraman 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 Vijaya Venkataraman affiliated with any hospitals?

According to CMS data, Vijaya Venkataraman is affiliated with Ohiohealth O'bleness Hospital, Mount Carmel East & West, Holzer Medical Center, Fairfield Medical Center and Hocking Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Vijaya Venkataraman was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.