CHAMPAK VENKITACHALAM (MD, MPH) – Adult Medicine Physician, NPI 1649589052

CHAMPAK VENKITACHALAM (MD, MPH) is a healthcare provider. based in Sacramento, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD, MPH. They hold a License No. A122227 (CA). The NPI Number for CHAMPAK VENKITACHALAM (MD, MPH) is 1649589052

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
CHAMPAK VENKITACHALAM (MD, MPH)
NPI
1649589052
Phone
(916) 733-3777
Address
1020 29TH ST STE 480
Enumeration Date
3 October 2010
Last Update Date
9 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9253088112
Graduation Year
2003 (23 years ago)
PAC ID
3971747171
Group Practice PAC ID
6608789813
Professional Enrollment ID
I20130909000703
Address ID
CA945134956BR2400XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

13,237 FAMILY PRACTICE in CA

Provider Addresses for CHAMPAK VENKITACHALAM (MD, MPH)

  • 1020 29TH ST STE 480

    SACRAMENTO, CA 958165173

    Phone: (916) 733-3777

    Type: Location

  • 1220 Rossmoor Pkwy

    Walnut Creek, CA 945952501

    Phone: (925) 947-3393

    Type: Location

  • 10470 OLD PLACERVILLE RD

    SACRAMENTO, CA 958272539

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130909000703IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16466$0
99239Hospital discharge day management, more than 30 minutes2929$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2717$0
99215Established patient office or other outpatient visit, 40-54 minutes2626$0
99214Established patient office or other outpatient visit, 30-39 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 95816)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608789813View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineCA
Family PracticeCA
-CA
-CA
Internal MedicineCA
U R O L O G YCA
Internal Medicine, HospitalistCA
-CA
Internal MedicineCA
Hospice/Palliative Care, Internal MedicineCA

Reviews

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Frequently asked questions

Does CHAMPAK VENKITACHALAM (MD, MPH) have a public NPI I can cite?
Public records show CHAMPAK VENKITACHALAM (MD, MPH) under NPI 1649589052.
Quick check: is CHAMPAK VENKITACHALAM (MD, MPH) active?
Public NPPES data shows CHAMPAK VENKITACHALAM (MD, MPH) with an active NPI status right now.
What does the directory say CHAMPAK VENKITACHALAM (MD, MPH) does?
Insurance directories may phrase it differently, but here CHAMPAK VENKITACHALAM (MD, MPH) maps to Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to CHAMPAK VENKITACHALAM (MD, MPH)?
The directory associates CHAMPAK VENKITACHALAM (MD, MPH) with Sacramento, California. Check all listed addresses for suites or satellite offices.
Can I export CHAMPAK VENKITACHALAM (MD, MPH)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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