Individual provider Active NPI

Kreshmeh Khosrowani, MD

  • Emergency Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1114459906
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
311248 Issued in LA
Practice address
5246 Brittany Drive
Lsu Emergency Medicine Residency Program
Baton Rouge, LA 70808
Phone
(225) 757-4142
Fax
(225) 757-4230
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 311248 LA Primary

Addresses

Primary practice location

5246 Brittany Drive
Lsu Emergency Medicine Residency Program
Baton Rouge, LA 70808

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

3501 Highway 190
Eunice, LA 70535-5129
Phone (337) 580-7500

Other practice location 2

800 E Main St
Ville Platte, LA 70586-4618
Phone (337) 363-5684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220511001838 VA Practitioner - Emergency Medicine 0840562328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Eastern Virginia Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexandria Springfield Emergency Physicians PCGroup PAC ID 1052558954, 38 clinicians

Practice addresses (Care Compare)

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone (240) 686-2300

Hospital & facility affiliations

  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as group
Quality
91.6
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311248LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jun 1, 2022 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 1, 2022 Accepting new patients
Arnot Medical Services PLLC Emergency Medicine Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

Organizations & group practices 5

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 1

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1114459906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 BRITTANY DRIVE",
            "address_2": "LSU EMERGENCY MEDICINE RESIDENCY PROGRAM",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-757-4142",
            "fax_number": "225-757-4230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Highway 190",
            "address_purpose": "LOCATION",
            "city": "Eunice",
            "state": "LA",
            "postal_code": "705355129",
            "country_code": "US",
            "telephone_number": "337-580-7500",
            "fax_number": "337-580-7501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Main St",
            "address_purpose": "LOCATION",
            "city": "Ville Platte",
            "state": "LA",
            "postal_code": "705864618",
            "country_code": "US",
            "telephone_number": "337-363-5684",
            "fax_number": "337-363-9488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSROWANI",
        "first_name": "KRESHMEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "311248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.