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



Physician's Profile

Full NameDr Venkat Kiran Kanchustambham
GenderMale
SpecialityPulmonary Disease
Experience17 Years
Location801, Broadway N, Fargo, North Dakota
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1851602999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 14482 (North Dakota)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Medical Center FargoFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Medical Center Fargo84269678031094

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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 NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221

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Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

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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 AddressPractice 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

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Internal Medicine Doctors in Fargo, ND

Dr. Keri Lynn Crewson, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: Sanford Health, 801 Broadway North, Fargo, ND 58122
Phone: 701-234-5933    Fax: 701-234-7230
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    

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