DR. EMMANUEL A VENKATESAN (MD) – Internal Medicine Physician, NPI 1730185745

DR. EMMANUEL A VENKATESAN (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 105561 (MO). The NPI Number for DR. EMMANUEL A VENKATESAN (MD) is 1730185745

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMMANUEL A VENKATESAN (MD)
NPI
1730185745
Phone
(314) 333-4100
Address
4320 FOREST PARK AVE
Enumeration Date
23 June 2005
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3143334100
Graduation Year
1990 (36 years ago)
PAC ID
1153354402
Group Practice PAC ID
6002895893
Professional Enrollment ID
I20050916000141
Address ID
MO631082979SA4320XAVEX402
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichoSted.com/FHIRProxy/api/FHIR/DSTU2/
FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,186 INTERNAL MEDICINE in MO

Provider Addresses for DR. EMMANUEL A VENKATESAN (MD)

  • 4320 FOREST PARK AVE

    STE 1100

    SAINT LOUIS, MO 631082979

    Phone: (314) 333-4100

    Fax: (314) 333-4115

    Type: Location

  • Grant Medical Clinic, 114, North Taylor Avenue, Central West End, City of Saint Louis, Missouri, 63108, United States

    SAINT LOUIS, MO 631082102

    Phone: (314) 534-8600

    Fax: (314) 652-8138

    Type: Mailing

  • PO BOX 7412037

    CHICAGO, IL 606742037

    Phone: (314) 333-4100

    Fax: (314) 333-4115

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $363.

Total Amount is formed as General ($363) + Research ($0) + Ownership ($0) = $363.

Last reported payment date: 2023-10-04 • Largest payer in this snapshot: Novo Nordisk Inc ($137).

Total Amount

$363

General + Research + Ownership

Payments

20

Total payment records

General Amount

$363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-09-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050916000141IInternal MedicineMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes239166$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count178153$0
80053Blood test, comprehensive group of blood chemicals172157$0
80061Blood test, lipids (cholesterol and triglycerides)164160$0
99214Established patient office or other outpatient visit, 30-39 minutes154103$0
View full utilization report →

Insurance plans in this area (ZIP 63108)

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Provider's Procedures

DR. EMMANUEL A VENKATESAN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMO81002Urinalysis, manual test6157

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: 6002895893View full group profile
NameSpecialtyState
Internal MedicineMO
-MO
Nurse PractitionerMO
Internal MedicineMO
Nurse PractitionerMO
Endocrinology, Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is DR. EMMANUEL A VENKATESAN (MD) listed with a National Provider Identifier?
Yes — DR. EMMANUEL A VENKATESAN (MD) has NPI 1730185745 on file in the registry.
Is there an active status for DR. EMMANUEL A VENKATESAN (MD)?
For scheduling context, DR. EMMANUEL A VENKATESAN (MD) is shown as active in the registry.
What clinical focus is listed for DR. EMMANUEL A VENKATESAN (MD)?
At a glance, DR. EMMANUEL A VENKATESAN (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. EMMANUEL A VENKATESAN (MD)?
Travel planning: use Saint Louis, Missouri as the reference point for DR. EMMANUEL A VENKATESAN (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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