NPIMap

Individual provider Active NPI

Ananth Krishnan, MD

  • Internal Medicine Physician
  • Deland, FL
National Provider Identifier
1073521902
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME67152 Issued in FL
Practice address
665 Peachwood Dr
Suite 2
Deland, FL 32720-0903
Phone
(386) 736-6066
Fax
(386) 738-5890
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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 ME67152 FL Primary

Addresses

Primary practice location

665 Peachwood Dr
Suite 2
Deland, FL 32720-0903

Mailing address

665 Peachwood Dr
Suite 2
Deland, FL 32720-0903
Phone (386) 736-6066

Other identifiers 1

IdentifierTypeStateIssuer
260726300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000055 FL Practitioner - Internal Medicine 7416003629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Ormond Beach, FL, CCN 107408
  • Accentcare Home Health of Daytona Home health agency, Ormond Beach, FL, CCN 108284
  • Centerwell Home Health Home health agency, Daytona Beach, FL, CCN 107338
  • Adventhealth Hospice Care East Florida Hospice, Ormond Beach, FL, CCN 101539
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Sep 26, 2016 Accepting new patients
Adventhealth Primary Care Network Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Southwest Volusia Healthcare Corporation Internal Medicine CurrentSince May 18, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Memorial Health Systems Inc Past Accepting new patients
Andrew J. Randolph MD PA Internal Medicine Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

1070 N Stone St
Ste A
Deland, FL 32720
Phone (386) 943-7100

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19589/brand/1/csg/1/fhir/r4
  • Direct secure messaging: akrishnan57496@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1073521902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PEACHWOOD DR",
            "address_2": "SUITE 2",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200903",
            "telephone_number": "386-736-6066",
            "fax_number": "386-738-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PEACHWOOD DR",
            "address_2": "SUITE 2",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200903",
            "telephone_number": "386-736-6066",
            "fax_number": "386-738-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "ANANTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME67152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260726300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.