Muthaiya Pillai Krishnaraj, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

23725 Issued in NC

Practice address

201 Stevens Mill Rd
Goldsboro, NC 27530-1056

Phone

(919) 731-3470

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• East Carolina Psychiatric Consultants,PLLC

  • Psychiatry Physician
  • Goldsboro, NC
  • NPI 1891997334
  Medicare reassignment NPD
• Eastpointe Human Services

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1306058524
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1265443097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 PINENEEDLES RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344242",
            "telephone_number": "919-736-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STEVENS MILL RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301056",
            "telephone_number": "919-731-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNARAJ",
        "first_name": "MUTHAIYA",
        "middle_name": "PILLAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "23725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950345",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "208001E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Kovach, PA
• Allison Vansant Kowalewski
• Andrew James Kraft, MD
• Kimberly Starling Krentz, RPH
• Hiremagalur N Krishnaprasad, M.D.
• Joseph Stephen Krobock, DMD
• Richard D Kruer Jr., DMD
• Amy Krutsch, FNP
• John Paul Kumhyr, PA
• Kyle J Roth III DDS PA (carolina Denta Arts of Goldsboro)

• Psychiatry Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.

Verify at the official NPI Registry.