Individual provider Active NPI

Ganapathy S Krishnan, M.D.

  • Hematology & Oncology Physician
  • Fife, WA
National Provider Identifier
1063537645
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301064129 Issued in MI
Practice address
3700 Pacific Hwy E Ste 100
Fife, WA 98424-1160
Phone
(253) 382-6300
Fax
(253) 382-6301
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD61442553 WA
Hematology & Oncology Physician 207RH0003X 4301064129 MI Primary

Addresses

Primary practice location

3700 Pacific Hwy E Ste 100
Fife, WA 98424-1160

Mailing address

3700 Pacific Hwy E Ste 100
Fife, WA 98424-1160
Phone (253) 382-6300

Other practice location 1

4439 State Route 159
Suite 260
Chillicothe, OH 45601-8207
Phone (740) 779-7589

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.cancer.center@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WA2 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
I20080509000023 OH Practitioner - Hematology/Oncology 7517995434 Reassigns benefits to 1 organization
I20240315003648 WA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7517995434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salish Integrative Medicine IncGroup PAC ID 6204154420, 3 clinicians

Practice addresses (Care Compare)

3700 Pacific Hwy E
Suite 100
Fife, WA 98424-1160
Phone (253) 382-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301064129MIMDHematology & Oncology Physician
MD61442553WAMDHematology & Oncology Physician
30558TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salish Integrative Medicine, Inc Hematology & Oncology CurrentSince Jan 16, 2024 Accepting new patients
Adena Medical Group LLC CurrentSince Apr 1, 2010 Accepting new patients
Emergency Coverage, LLC Past Accepting new patients
W E Bennett MD Past Accepting new patients

Locations

4439 State Route 159
Ste 260
Chillicothe, OH 45601
Phone (740) 779-4370

272 Hospital Rd
Ste 3
Chillicothe, OH 45601
Phone (740) 779-8234

4439 State Route 159
Ste 130
Chillicothe, OH 45601
Phone (740) 779-4360

4435 State Route 159
Chillicothe, OH 45601
Phone (740) 542-3030

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

3700 Pacific Hwy E
Ste 100
Fife, WA 98424
Phone (253) 382-6300

Interoperability endpoints

  • Direct secure messaging: gkrishnan191301@direct.osumc.edu

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1063537645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 PACIFIC HWY E STE 100",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241160",
            "telephone_number": "253-382-6300",
            "fax_number": "253-382-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PACIFIC HWY E STE 100",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241160",
            "telephone_number": "253-382-6300",
            "fax_number": "253-382-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4439 State Route 159",
            "address_2": "Suite 260",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456018207",
            "country_code": "US",
            "telephone_number": "740-779-7589",
            "fax_number": "740-779-7871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "GANAPATHY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD61442553",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301064129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.cancer.center@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4439 State Route 159",
            "address_2": "Suite 260",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456018207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fife, WA

Sources for this page

Verify at the official NPI Registry.