Individual provider Active NPI

Krishna Vardhan Venkata Dasari Lakshmi, M.D

  • Internal Medicine Physician
  • Montgomery, AL
National Provider Identifier
1043629157
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.36127 Issued in AL
Practice address
2055 E South Blvd Ste 202
Montgomery, AL 36116-2002
Phone
(334) 747-7575
Fax
(334) 747-7590
NPI assigned
Aug 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.36127 AL Primary

Addresses

Primary practice location

2055 E South Blvd Ste 202
Montgomery, AL 36116-2002

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 747-4159

Other names 1

  • Krishna Vardhan Reddy Venkata Dasari Lakshmi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171004003447 AL Practitioner - Internal Medicine 1557636396 Reassigns benefits to 5 organizations
I20250724001937 TX Practitioner - Internal Medicine 1557636396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Liver Consultants PAGroup PAC ID 6103063078, 36 clinicians

Practice addresses (Care Compare)

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

607 Camden St
Suite 108
San Antonio, TX 78215-2100
Phone (210) 253-3426

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Oct 1, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 10, 2017 Accepting new patients
Community Hospital Inc CurrentSince Feb 24, 2018 Accepting new patients
Community Hospital Inc Current Accepting new patients
Community Hospital, Inc Internal Medicine CurrentSince Feb 24, 2018 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Community Hospital Inc Internal Medicine Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Oct 1, 2019 Accepting new patients
University of Alabama at Birmingham CurrentSince Aug 1, 2017 Accepting new patients
University of Alabama at Birmingham Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Texas Liver Consultants PA CurrentSince Jun 18, 2025 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
Vaughan Regional Medical Center LLC Past Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Internal Medicine Past Accepting new patients

Locations

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2055 E South Blvd
Ste 202
Montgomery, AL 36116
Phone (205) 366-1605

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

607 Camden St
Ste 108
San Antonio, TX 78215
Phone (210) 325-8402

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1043629157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-747-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 202",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162002",
            "telephone_number": "334-747-7575",
            "fax_number": "334-747-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATA DASARI LAKSHMI",
        "first_name": "KRISHNA",
        "middle_name": "VARDHAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.36127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISHNA",
            "last_name": "VENKATA DASARI LAKSHMI",
            "middle_name": "VARDHAN REDDY",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.