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

Individual provider Physician Assistant · NPI 1477895035

Pushpalatha Tirumale Venkataraman, PHYSICIANASSISTANT is a Physician Assistant in Medina, Ohio. Qualified in 2012, 14 years ago. Practices with Crossroads Health, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2013
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Practice location Address checks out

801 E Washington St Ste 150
Medina, OH 44256-3335
Phone: (330) 722-1069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9220 Mentor Ave, Mentor, OH 44060-6412 — (440) 354-9924

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.003757 (OH)

Record details

NPI number1477895035
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedMarch 21, 2013
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Crossroads Health — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Medina