Active NPI
Sarada Krishnamurthy, MD
- Hematology & Oncology Physician
- West Seneca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 201702011
- Practice address
- 3612 Seneca St
West Seneca, NY 14224-3451 - Phone
- (716) 674-3104
- NPI assigned
- Apr 21, 2006
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 47171 | KY | |
| Hematology & Oncology Physician | 207RH0003X | 2017-02011 | NC | |
| Hematology & Oncology Physician | 207RH0003X | ME114275 | FL | |
| Hematology & Oncology Physician | 207RH0003X | 47171 | KY | |
| Hematology & Oncology Physician | 207RH0003X | 226869 | NY | |
| Hematology & Oncology Physician | 207RH0003X | 201702011 | NC | Primary |
Addresses
Primary practice location
3612 Seneca St
West Seneca, NY 14224-3451
Mailing address
3612 Seneca St
West Seneca, NY 14224-3451
Phone (716) 674-3104
Other practice location 1
Medical Center Blvd
Winston Salem, NC 27157-3451
Phone (336) 716-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02648039 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Hematology/Oncology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
- North Carolina Baptist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME114275 | FL | MD | Hematology & Oncology Physician |
| 201702011 | NC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Brooklyn Medical P.L.L.C | Past | Accepting new patients | |
| Baptist Health Medical Group Inc | Internal Medicine | Past | Accepting new patients |
| Brooklyn Hem-Onc Medical, PLLC | Hematology & Oncology | Past | Accepting new patients |
Locations
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- skrishnamurthy2754792@carolinashealthcaresystem.direct-ci.com
- skrishnamurthy52566@direct.kdhealth.us
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Clinic/Center
- Statesville, NC
- NPI 1245757665
-
- Hematology & Oncology Physician
- Brooklyn, NY
- NPI 1275862591
-
- Specialist
- Brooklyn, NY
- NPI 1881794782
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1174589063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 SENECA ST",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243451",
"telephone_number": "716-674-3104",
"fax_number": "859-257-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 SENECA ST",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243451",
"telephone_number": "716-674-3104"
}
],
"practiceLocations": [
{
"address_1": "Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271573451",
"country_code": "US",
"telephone_number": "336-716-2255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRISHNAMURTHY",
"first_name": "SARADA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "47171",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "2017-02011",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "ME114275",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KY",
"license": "47171",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "226869",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "201702011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02648039",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.