Individual provider Active NPI

Krishna V Patel, PA-C

  • Medical Physician Assistant
  • Roswell, GA
National Provider Identifier
1265064901
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10189 Issued in GA
Practice address
201 Bombay LN
Roswell, GA 30076-5815
Phone
(770) 686-3246
Fax
(770) 674-7366
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 024474 NY
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 10189 GA Primary

Addresses

Primary practice location

201 Bombay LN
Roswell, GA 30076-5815

Mailing address

201 Bombay LN
Roswell, GA 30076-5815
Phone (770) 686-3246

Other practice location 1

200 Madison Ave
New York, NY 10016-3903
Phone (212) 447-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200811001054 NY Practitioner - Physician Assistant 0941625727
I20210224002435 GA Practitioner - Physician Assistant 0941625727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
024474NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dharma Hospice and Palliative Care LLC Single Specialty CurrentSince Mar 30, 2025 Accepting new patients

Locations

201 Bombay Ln
Roswell, GA 30076
Phone (678) 629-3126

Interoperability endpoints

  • Direct secure messaging: krishnapatel@rpgpc.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1265064901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765815",
            "telephone_number": "770-686-3246",
            "fax_number": "770-674-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765815",
            "telephone_number": "770-686-3246",
            "fax_number": "770-674-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100163903",
            "country_code": "US",
            "telephone_number": "212-447-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRISHNA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "024474",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "10189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.