GOPIKRISHNA VENKATESVARAN MBBS
NPI 1730751652
Student in an Organized Health Care Education/Training Program in Passaic, NJ

Active since July 12, 2021PECOS EnrolledAccepts Medicare Assignment
350 BOULEVARD, ST MARY'S GENERAL HOSPITAL, PASSAIC, NJ 07055(973) 365-4300 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gopikrishna Venkatesvaran Mbbs NPPES

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

GOPIKRISHNA VENKATESVARAN MBBS (NPI 1730751652) is an individual student in an organized health care education/training program in Passaic, New Jersey and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730751652
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGOPIKRISHNA VENKATESVARANCredential: MBBS
Location Address350 BOULEVARD, ST MARY'S GENERAL HOSPITALPassaic, NJ 07055
Mailing Address25 Pocono Road, Saint Clare's Denville HospitalDenville, NJ 07834
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 12, 2021
Last NPPES UpdateSeptember 3, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1730751652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
350 BOULEVARD, ST MARY'S GENERAL HOSPITAL, Passaic, NJ 07055

Accepted Insurance

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

Gopikrishna Venkatesvaran Mbbs 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 ID5991231284
PECOS Enrollment IDI20241210003164
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 Reassignments

2

Medicare enrollment records show Gopikrishna Venkatesvaran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
29 LEWIS AVE
Great Barrington, MA 01230
  • Reassigned Medicare billing, Massachusetts enrollment
  • 120 clinicians in this Medicare group
Multi-Specialty
725 NORTH ST
Pittsfield, MA 01201
  • Reassigned Medicare billing, Massachusetts enrollment
  • 405 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Fairview Hospital

Critical Access Hospitals · Great Barrington, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221302
Location29 Lewis AvenueGreat Barrington, MA 01230 · Berkshire County
Emergency services Birthing friendly

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 Gopikrishna Venkatesvaran's NPI number?

The NPI number for Gopikrishna Venkatesvaran is 1730751652. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Gopikrishna Venkatesvaran located?

Gopikrishna Venkatesvaran practices at 350 Boulevard, St Mary's General Hospital, Passaic, NJ 07055. The listed phone number is (973) 365-4300.

What is Gopikrishna Venkatesvaran's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gopikrishna Venkatesvaran enrolled in Medicare?

Yes. Gopikrishna Venkatesvaran 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 organizations bill Medicare for Gopikrishna Venkatesvaran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gopikrishna Venkatesvaran reassigns Medicare benefits to 2 organizations: Fairview Hospital (Great Barrington, MA) and Berkshire Faculty Services Inc (Pittsfield, MA). Each 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 Gopikrishna Venkatesvaran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gopikrishna Venkatesvaran accept?

Health plans from Anthem Blue Cross and Blue Shield list Gopikrishna Venkatesvaran 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 Gopikrishna Venkatesvaran affiliated with any hospitals?

According to CMS data, Gopikrishna Venkatesvaran is affiliated with Berkshire Medical Center and Fairview Hospital.

When was this NPI record last updated?

The NPPES record for Gopikrishna Venkatesvaran was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.