Dr Venkat Kiran Kanchustambham, M/D in Fargo, ND

Dr Venkat Kiran Kanchustambham, M/D is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Fargo, North Dakota. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is 801, Broadway N, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 234-2000.

Dr Venkat Kiran Kanchustambham is licensed to practice in North Dakota (license number 14482) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851602999.

Contact Information

	Dr Venkat Kiran Kanchustambham, M/D
	801, Broadway N, Fargo, ND 58102
	(701) 234-2000
	(701) 234-2345

Map and Direction

Physician's Profile

Full Name	Dr Venkat Kiran Kanchustambham
Gender	Male
Speciality	Pulmonary Disease
Experience	17 Years
Location	801, Broadway N, Fargo, North Dakota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Venkat Kiran Kanchustambham graduated from medical school in 2007

NPI Data:

NPI Number: 1851602999
Provider Enumeration Date: 06/23/2010
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3678870508
Enrollment ID: I20170905002387

Medical Identifiers

Medical identifiers for Dr Venkat Kiran Kanchustambham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851602999	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	14482 (North Dakota)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital
Perham Health	Perham, MN	Hospital
Essentia Health St Marys - Detroit Lakes	Detroit lakes, MN	Hospital
Lake Region Healthcare Corporation	Fergus falls, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1085

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Venkat Kiran Kanchustambham allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Venkat Kiran Kanchustambham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Venkat Kiran Kanchustambham, M/D 801, Broadway N, Fargo, ND 58102 Ph: (701) 234-2000	Dr Venkat Kiran Kanchustambham, M/D 801, Broadway N, Fargo, ND 58102 Ph: (701) 234-2000

Reviews and Comments

Internal Medicine Doctors in Fargo, ND

Abdallah M Mansour, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900
Derek Anderson, DO Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933
Gerald G Gross, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161
Paul James Carson, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979
Howard L Russell, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861
Dr. Emuejevoke Joseph Okoh, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000
Dr. Patrick J Hughes, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 201-234-2000

Dr Venkat Kiran Kanchustambham, M/D - Medicare Pulmonary Disease in Fargo, ND