Active NPI
Krishna D Thirumala, MD
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- C182807
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 519719105A | Medicaid | GA | |
| 92886 | Other | FL | BCBS |
| 277749500 | Medicaid | FL | |
| P00434974 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, CA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
- Kern Radiology Medical Group Inc
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 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.24 of 100
- Quality
- 51.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.38 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C182807 | CA | MD | Diagnostic Radiology Physician |
| ME97416 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Radiology Medical Associates, Inc. | Current | Accepting new patients | |
| Innovative Radiology PA | Diagnostic Radiology | Current | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Santa Rosa Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Norcal Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Radnet Medical Imaging-San Francisco | Diagnostic Radiology | Current | Accepting new patients |
| Modesto Advanced Diagnostic Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Stockton Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Diagnostic Radiological Imaging | Diagnostic Radiology | Current | 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 | Past | 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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Diagnostic Radiology Physician
- Modesto, CA
- NPI 1730133893
IL
-
- Diagnostic Radiology Physician
- Gilbert, AZ
- NPI 1336757699
FL, IL
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
FL, IL
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1568416147
FL, IL
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1700821972
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.