Active NPI
Usha S Krishnan, MD
- Pediatric Cardiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 245457
- Practice address
- 3959 Broadway # Chn253
New York, NY 10032-1559 - Phone
- (844) 478-3627
- Fax
- (212) 342-1443
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 245457 | NY | Primary |
Addresses
Primary practice location
3959 Broadway # Chn253
New York, NY 10032-1559
Mailing address
3959 Broadway
New York, NY 10032-1559
Phone (212) 305-4436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02170414 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trustees of Columbia University in the City of New York
Practice addresses (Care Compare)
3959 Broadway
New York, NY 10032-1559
Phone (212) 305-5398
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245457 | NY | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Pediatric Cardiology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatric Cardiology | Past | Accepting new patients |
Locations
19 Bradhurst Ave
Ste 1400
Hawthorne, NY 10532
Phone (914) 493-7997
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
622 W 168th St
Ph 1624
New York, NY 10032
Phone (212) 305-4098
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
3959 Broadway
New York, NY 10032
Phone (212) 304-7297
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
3959 Broadway
#253
New York, NY 10032
Phone (212) 305-6966
2026 Richmond Rd
Staten Island, NY 10306
Phone (212) 305-2300
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- usk9003@direct.nyp.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 9
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.
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Pediatric Cardiology
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- NPI 1467454967
Pediatric Cardiology
-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1144220120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "212-305-4436",
"fax_number": "914-594-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY # CHN253",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "844-478-3627",
"fax_number": "212-342-1443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNAN",
"first_name": "USHA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2024-05-21",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NY",
"license": "245457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02170414",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.