Individual provider Active NPI

Krishna Sarada Bathina, MD

  • Internal Medicine Physician
  • Naperville, IL
National Provider Identifier
1265548093
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036108950 Issued in IL
Practice address
608 S Washington St Ste 201
Naperville, IL 60540-6661
Phone
(630) 717-2630
Fax
(630) 355-9546
NPI assigned
Aug 22, 2006
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036108950 IL Primary

Addresses

Primary practice location

608 S Washington St Ste 201
Naperville, IL 60540-6661

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 942-7998

Other identifiers 1

IdentifierTypeStateIssuer
036108950MedicaidIL

Other names 1

  • Dr. Krishna Sarada Allamsetty Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address kbathina21823@direct.edward.org
Direct Messaging Address kbathina13702@dulyhealthandcare.direct-ci.com
Direct Messaging Address kbathina13702@dulyhealthandcare.direct-ci.com
Direct Messaging Address KBATHINA13702@DULYHEALTHANDCARE.DIRECT-CI.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20040614000467 IL Practitioner - Internal Medicine 3173507712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

720 S Brom St
Suite 204
Naperville, IL 60540
Phone (630) 848-1332

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036108950ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Jan 16, 2017 Accepting new patients
Dupage Medical Group LTD CurrentSince Jan 16, 2017 Accepting new patients
Mercy Specialty Services Internal Medicine Past Accepting new patients
Mercy Physician Network Past Accepting new patients
Mercy Health Partners - Physician Specialist Internal Medicine PastSince Sep 1, 2014 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

608 S Washington St
Ste 201
Naperville, IL 60540
Phone (630) 355-9546

720 Brom Ct
Ste 204
Naperville, IL 60540
Phone (630) 848-1332

Interoperability endpoints

  • Direct secure messaging: kbathina13702@dulyhealthandcare.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1265548093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-942-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S WASHINGTON ST STE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406661",
            "telephone_number": "630-717-2630",
            "fax_number": "630-355-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHINA",
        "first_name": "KRISHNA",
        "middle_name": "SARADA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036108950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108950",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbathina21823@direct.edward.org",
            "affiliation": "N",
            "address_1": "608 S Washington St Ste 201",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbathina13702@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "608 S Washington St Ste 201",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbathina13702@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "608 S Washington St Ste 201",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KBATHINA13702@DULYHEALTHANDCARE.DIRECT-CI.COM",
            "affiliation": "N",
            "address_1": "608 S Washington St Ste 201",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISHNA",
            "last_name": "ALLAMSETTY",
            "middle_name": "SARADA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.