Active NPI
Chaya Sunder Krishnan, MD
- Anesthesiology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- E-4019
- Practice address
- 877 Jefferson Ave
Memphis, TN 38103-2807 - Phone
- (901) 545-7100
- NPI assigned
- May 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 56834 | TN | |
| Anesthesiology Physician | 207L00000X | E-4019 | AR | Primary |
Addresses
Primary practice location
877 Jefferson Ave
Memphis, TN 38103-2807
Mailing address
4301 W Markham St # 515
Little Rock, AR 72205-7101
Phone (501) 526-7619
Other practice location 1
4301 W Markham St # 515
Little Rock, AR 72205-7101
Phone (501) 526-7619
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00370759 | Other | AR | RAILROAD MEDICARE |
| 157270001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-4019 | AR | MD | Anesthesiology Physician |
| 56834 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Anesthesiology | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Anesthesiology | Current | Accepting new patients |
| St. Vincent Infirmary Medical Center | Anesthesiology | Past | Accepting new patients |
| Arkansas Childrens Hospital | Past | Accepting new patients |
Locations
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
4301 W Markham St
Ste 528
Little Rock, AR 72205
9601 Interstate 630
Little Rock, AR 72205
Phone (501) 202-2300
4301 W Markham St
#515
Little Rock, AR 72205
Phone (501) 603-1656
4301 W Markham St
#528
Little Rock, AR 72205
Phone (501) 614-2006
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
Anesthesiology
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
Anesthesiology
-
- Children's Hospital
- Little Rock, AR
- NPI 1194776757
-
- Certified Registered Nurse Anesthetist
- Sherwood, AR
- NPI 1316991847
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1225085814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 515",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-526-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032807",
"telephone_number": "901-545-7100"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St # 515",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-526-7619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRISHNAN",
"first_name": "CHAYA",
"middle_name": "SUNDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "56834",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "E-4019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00370759",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157270001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.