Krishma Medical Associates 2 PC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

KRISHMA MEDICAL ASSOCIATES 2 PC

Practice address

170 Governors Ave
Medford, MA 02155-1643

Phone

(978) 505-9628

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Meena Mehta, MDNPI 1285615310

Title

Owner

Phone

(781) 336-6262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meena Mehta, MD

  • Pulmonary Disease Physician
  • Concord, MA
  • NPI 1285615310
  Medicare reassignment NPD Authorized official
• Li Chin Sun, NP-C

  • Adult Health Nurse Practitioner
  • Concord, MA
  • NPI 1275991168
  Medicare reassignment NPD

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1275208159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HOUGHTON LN",
            "city": "BOXBOROUGH",
            "state": "MA",
            "postal_code": "017191867",
            "telephone_number": "978-505-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551643",
            "telephone_number": "978-505-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHMA MEDICAL ASSOCIATES 2 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "MEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-336-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Catherine Konstan
• Hope Koram, LMHC
• Jillian Lee Korb, CCC-SLP
• Abigail Kowalski
• Steffanie Kraucunas, RN
• Janie L Kritzman, PHD
• Ellen Ruth Kruger, L.I.C.S.W.
• Krystyna Ksiazek, L.M.H.C
• Duncan McNicol Kuhn, MD
• Samyuktha Kumar

• Sleep Medicine (Internal Medicine) Physician in Medford, MA
• Providers in Medford, MA by specialty
• Sleep Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.