Active NPI
Ganapathy S Krishnan, M.D.
- Hematology & Oncology Physician
- Fife, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 4301064129
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adena.cancer.center@adena.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301064129 | MI | MD | Hematology & Oncology Physician |
| MD61442553 | WA | MD | Hematology & Oncology Physician |
| 30558 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salish Integrative Medicine, Inc | Hematology & Oncology | Current | Accepting new patients |
| Adena Medical Group LLC | Current | 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
- 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.
-
dba Salish Cancer Center
- Medical Oncology Physician
- Fife, WA
- NPI 1457740359
Hematology & Oncology
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
-
- Internal Medicine Physician
- Harriman, TN
- NPI 1497949549
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Lab PAC LAB
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1659585370
Hospital
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.