Individual provider Active NPI

Brinda Krishnan, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1083639405
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Practice address
850 W Irving Park Rd
Chicago, IL 60613-3077
Phone
(773) 525-6780
NPI assigned
Jul 13, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X IL Primary
Emergency Medicine Physician 207P00000X MD-066453-L PA
Emergency Medicine Physician 207P00000X D0059058 MD
Emergency Medicine Physician 207P00000X 0101232438 VA

Addresses

Primary practice location

850 W Irving Park Rd
Chicago, IL 60613-3077

Mailing address

1677 Estate Cir
Naperville, IL 60565-6795
Phone (630) 579-9771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040709000413 IL Practitioner - Emergency Medicine 9739167412 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Illinois, LLCGroup PAC ID 4486877511, 14 clinicians

Practice addresses (Care Compare)

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 542-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-099792ILMDEmergency Medicine Physician
D0059058MDMDEmergency Medicine Physician
MD-066453-LPAMDEmergency Medicine Physician
0101232438VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Department of Human Services Current Accepting new patients
Carle Eureka Hospital Current Accepting new patients
Healogics Specialty Physicians of Illinois, LLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2012 Accepting new patients
Illinois Department of Human Services CurrentSince May 8, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2012 Accepting new patients
Illinois Department of Human Services CurrentSince May 8, 2020 Accepting new patients
Illiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Midwest Emergency Northern Illinois Inc Emergency Medicine Past Accepting new patients
Chicago Emergency Physician, LLP Emergency Medicine Past Accepting new patients
Inphynet Primary Care Physicians Midwest, S.C. Emergency Medicine Past Accepting new patients
Berwyn Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Illiana Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Illinois Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1000 N Main St
Anna, IL 62906
Phone (618) 833-5161

2020 Ogden Ave
Ste 360
Aurora, IL 60504
Phone (630) 585-3100

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

29373 Network Pl
Chicago, IL 60673

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

87 N Airlite St
Ste G15
Elgin, IL 60123
Phone (847) 622-3407

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

3722 Harlem Ave
Ste 100
Riverside, IL 60546
Phone (708) 783-2970

100 S Grand Ave E
Springfield, IL 62762

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 5

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1083639405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 ESTATE CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605656795",
            "telephone_number": "630-579-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133077",
            "telephone_number": "773-525-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "BRINDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD-066453-L",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0059058",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101232438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.