KUMAR VENKATACHALAM (MD) – Gastroenterology Physician, NPI 1154325421
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
448 GASTROENTEROLOGY in IN
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Provider Addresses for KUMAR VENKATACHALAM (MD)
Broadway, Merrillville, Lake County, Indiana, 46409, United States
MERRILLVILLE, IN 464107032
Phone: (219) 392-7084
Fax: (219) 703-6854
Type: Mailing
10215 Broadway Ste 203
Crown Point, IN 463078001
Phone: (219) 947-6795
Fax: (219) 703-6830
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 229 Open Payments records for all available years, with a total value of $4,083.
Total Amount is formed as General ($4,083) + Research ($0) + Ownership ($0) = $4,083.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($1,256).
Total Amount
$4,083
General + Research + Ownership
Payments
229
Total payment records
General Amount
$4,083
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,256 |
| NESTLE HEALTHCARE NUTRITION INC. | $381 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $249 |
| Ardelyx, Inc. | $210 |
| Celgene Corporation | $210 |
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: 2007-08-13
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070813000230 | I | Gastroenterology | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 347 | 287 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 188 | 131 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 141 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 150 | 150 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 92 | 92 | $0 |
Insurance plans in this area (ZIP 46410)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | IL | |
| Nurse Practitioner | IN | |
| - | IN | |
| Gynecological Oncology, Obstetrics/Gynecology | IN | |
| - | IN | |
| Nurse Practitioner | IN |
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