Individual provider Active NPI

Krishna D Thirumala, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1083756852
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C182807 Issued in CA
Practice address
3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252
Phone
(904) 399-5550
Fax
(904) 346-4334
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME97416 FL
Diagnostic Radiology Physician 2085R0202X C182807 CA Primary

Addresses

Primary practice location

3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252

Mailing address

3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252
Phone (904) 399-5550

Other identifiers 4

IdentifierTypeStateIssuer
519719105AMedicaidGA
92886OtherFLBCBS
277749500MedicaidFL
P00434974OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, CA, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070906000522 FL Practitioner - Diagnostic Radiology 9436257532 Reassigns benefits to 7 organizations
I20190919003326 GA Practitioner - Diagnostic Radiology 9436257532 Reassigns benefits to 2 organizations
I20230818000681 CA Practitioner - Diagnostic Radiology 9436257532 Reassigns benefits to 2 organizations
I20240529002253 IL Practitioner - Diagnostic Radiology 9436257532 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stockton Diagnostic ImagingGroup PAC ID 0749386894, 59 clinicians
Arizona Diagnostic Radiology Group LLCGroup PAC ID 1658796859, 62 clinicians
Modesto Advanced Diagnostic Imaging Medical CenterGroup PAC ID 1850336736, 62 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Kern Radiology Medical Group IncGroup PAC ID 7214826460, shared by 2 NPIs, 94 clinicians
Norcal ImagingGroup PAC ID 7911099346, 79 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

Vernon Hills, IL 60061
Phone (585) 218-8006

1120 Lake St
Libertyville, IL 60048-1726
Phone (847) 778-7288

1869 Lake Charles Dr
Vernon Hills, IL 60061-4579
Phone (585) 218-8006

5244 Commissioners Dr
Jacksonville, FL 32224-0885
Phone (585) 218-8006

6830 Indian Creek Dr
3A
Miami Beach, FL 33141-3815
Phone (844) 866-2718

8750 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-2707
Phone (310) 385-7747

9900 Stockdale Hwy
Suite 209
Bakersfield, CA 93311-3634
Phone (661) 616-6306

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.24 of 100Reported as group
Quality
51.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C182807CAMDDiagnostic Radiology Physician
ME97416FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Radiology Medical Associates, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Jul 9, 2024 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 15, 2023 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Jun 21, 2025 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jul 26, 2025 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince May 25, 2025 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Mar 30, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jul 16, 2007 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 15, 2023 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 1, 2024 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Imaging Services of Jacksonville LLC Diagnostic Radiology Past Accepting new patients
Northside Imaging LLC Diagnostic Radiology Past Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology PastSince Dec 1, 2020 Accepting new patients

Locations

4915 E Baseline Rd
Ste 116
Gilbert, AZ 85234
Phone (480) 354-9200

2501 E Southern Ave
Ste 811
Tempe, AZ 85282
Phone (480) 820-2021

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

2301 Bahamas Dr
Bakersfield, CA 93309

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

9900 Stockdale Hwy
Ste 209
Bakersfield, CA 93311
Phone (661) 616-6306

8750 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 385-7747

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

1900 Tebeau St
Ste C
Waycross, GA 31501

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1083756852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "BUILDING 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-5550",
            "fax_number": "904-346-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "BUILDING 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-5550",
            "fax_number": "904-346-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRUMALA",
        "first_name": "KRISHNA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME97416",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C182807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519719105A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "92886",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277749500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00434974",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.