Individual provider Active NPI

Ashok S Krishnamurthy, M.D

  • Cardiovascular Disease Physician
  • Bradenton, FL
National Provider Identifier
1083623565
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME107232 Issued in FL
Practice address
4351 Cortez Rd W Ste 200
Bradenton, FL 34210-3217
Phone
(941) 345-1950
Fax
(941) 345-1951
NPI assigned
Aug 5, 2006
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME107232 FL Primary

Addresses

Primary practice location

4351 Cortez Rd W Ste 200
Bradenton, FL 34210-3217

Mailing address

PO Box 850001 Dept #217
Orlando, FL 32885-0001
Phone (941) 345-1950

Other identifiers 2

IdentifierTypeStateIssuer
003520800MedicaidFL
149WKOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101130001383 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9537122841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Cardiovascular Consultants PLLCGroup PAC ID 5395050355, 4 clinicians

Practice addresses (Care Compare)

4351 Cortez Rd W
Suite 200
Bradenton, FL 34210-3217
Phone (941) 345-1950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Cardiovascular Consultants PLLC Cardiovascular Disease CurrentSince Jul 15, 2015 Accepting new patients
Florida Medical Specialists LLC Past Accepting new patients

Locations

3904 Cortez Rd W
Bradenton, FL 34210
Phone (941) 345-1943

4351 Cortez Rd W
Ste 200
Bradenton, FL 34210
Phone (941) 345-1950

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ashok.krishnamurthy@cccbra.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJBDA/Endpoint/JIJBDA

Organizations & group practices 2

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 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1083623565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001 DEPT #217",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "941-345-1950",
            "fax_number": "941-345-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 CORTEZ RD W STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103217",
            "telephone_number": "941-345-1950",
            "fax_number": "941-345-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAMURTHY",
        "first_name": "ASHOK",
        "middle_name": "S",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME107232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003520800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "149WK",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.