Gopikrishna Venkatesvaran, MBBS
NPI 1730751652ActiveIndividual· Student in an Organized Health Care Education/Training Program· Passaic, NJ
Student in an Organized Health Care Education/Training Program (MBBS) with Fairview Hospital, practicing in Passaic, New Jersey. Enrolled in Medicare as practitioner - internal medicine. Lists Berkshire Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1730751652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MBBS |
| Sole proprietor | No |
| NPI issued | Jul 12, 2021 |
| Last updated in NPPES | Sep 3, 2021 |
| Certified by provider | Sep 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MA) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Fairview HospitalWilliamstown, MA · 55 clinicians
Hospital affiliations
- Berkshire Medical CenterPittsfield, MA
- Fairview HospitalGreat Barrington, MA
Other facilities
- Amedisys Home Health CareHome health agency · Agawam, MA
- Berkshire Visiting Nurse AssociationHome health agency · Pittsfield, MA
- Centerwell Home HealthHome health agency · Pittsfield, MA
- Hospicecare in the BerkshiresHospice · Pittsfield, MA
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All 34 Student in an Organized Health Care Education/Training Program providers in Passaic · All Student in an Organized Health Care Education/Training Program providers in New Jersey