Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ajay Venkataram

Individual provider Internal Medicine Physician · NPI 1043625478

Ajay Venkataram is an Internal Medicine in Tacoma, Washington. Qualified in 2012, 14 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
14
Licensed in
WA
In the registry since
2014
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Practice location Address checks out

1717 S J St Ste 336
Tacoma, WA 98405-4933
Phone: (253) 426-4101
Fax: (253) 426-6936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Madison Ave, Scranton, PA 18510 — (570) 343-2383

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD60715854 (WA)

Record details

NPI number1043625478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2014
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022
Mailing address1810 Summit Pointe Dr, Scranton, PA 18508

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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