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

Ayesha Venkateswaran

Individual provider Family Medicine Physician · NPI 1285047142

Ayesha Venkateswaran is a Family Practice in Kotzebue, Alaska. Qualified in 2012, 14 years ago. Practices with Dhhs Phs Naihs Chinle Comprehensive Health Care Facility, a 165-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Missouri and Washington.

Years since qualifying
14
Licensed in
AZ, MO, WA
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

436 5th Ave
Kotzebue, AK 99752-0043
Phone: (907) 442-3321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Navajo Route 4, Pinon, AZ 86510 — (928) 725-9500

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2021048199 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD60746395 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 69730 (AZ)

Record details

NPI number1285047142
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2014
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing addressPo Box 43, Kotzebue, AK 99752-0043

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Dhhs Phs Naihs Chinle Comprehensive Health Care Facility — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kotzebue