Harshavardhan R Krishna, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301070833 Issued in MI

Practice address

12123 Conant St
Hamtramck, MI 48212-2718

Phone

(313) 891-1500

Fax

(313) 891-1599

NPI assigned

Jul 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health First Medical Center PLCGroup PAC ID 7517994999, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDJBBD/Endpoint/EDJBBD
• FHIR API: https://api.platform.athenahealth.com/10301/brand/1/csg/1/fhir/r4

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.

• Health First Medical Center PLC

  dba My Family Doctor

  • Clinic/Center
  • Southgate, MI
  • NPI 1629001235
  Medicare reassignment Care Compare group NPD Authorized official
• Physician Care Solutions P.C.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1285265983
  Medicare reassignment NPD
• Anchor Senior Medical Services PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1770527517
  NPD (past)
• Associated General Practice Network PLLC

  • Clinic/Center
  • Detroit, MI
  • NPI 1144496860

  Internal Medicine

  NPD (past)
• University Allergy & Asthma Center PLLC

  • Allergy & Immunology Physician
  • Southfield, MI
  • NPI 1225300155
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Wyandotte Hospital

  dba Henry Ford Health Center Brownstown

  • Ambulatory Surgical Clinic/Center
  • Wyandotte, MI
  • NPI 1093901035

  Hospital

  Care Compare affiliation
• Henry Ford Wyandotte Hospital

  • General Acute Care Hospital
  • Wyandotte, MI
  • NPI 1992725352
  Care Compare affiliation

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1154354769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12123 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122718",
            "telephone_number": "313-891-1500",
            "fax_number": "313-891-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12123 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122718",
            "telephone_number": "313-891-1500",
            "fax_number": "313-891-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNA",
        "first_name": "HARSHAVARDHAN",
        "middle_name": "R",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301070833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4521365",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MD Mezanur Rahman Khan
• Shama Ashfaq Khan
• Khidmah LLC (Mylab)
• Brittany Laine Knight, PA-C
• John Carl Krause III
• Let Me Know LLC
• Kathy Regina Lewis, ANP-BC
• Life Time Physical Therapy Inc
• Mario Ramone Lingard, VENDOR
• Livewell Medical Group PLLC

• Internal Medicine Physician in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.

Verify at the official NPI Registry.