Active NPI
Ramachandra Meera Krishnashastry, M.D
- Family Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301100129
- Practice address
- 4350 Jackson Rd
Suite 200
Ann Arbor, MI 48103-1889 - Phone
- (734) 761-2581
- Fax
- (734) 761-9540
- NPI assigned
- Jul 3, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301100129 | MI | Primary |
Addresses
Primary practice location
4350 Jackson Rd
Suite 200
Ann Arbor, MI 48103-1889
Mailing address
24 Frank Lloyd Wright Dr
J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Other practice location 1
4350 Jackson Rd
Suite 200
Ann Arbor, MI 48103-1889
Phone (734) 761-2581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3200 W Liberty Rd
Suite C
Ann Arbor, MI 48103-9794
Phone (734) 761-2581
Hospital & facility affiliations
- Trinity Health at Home- Southeast Michigan
- Shared Services Home Health Care
- Trinity Health Ann Arbor Hospital
- Chelsea Hospital
- Trinity Health Livingston Hospital
- University of Michigan Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Family Medicine | Past | Accepting new patients |
Locations
4350 Jackson Rd
Ste 200
Ann Arbor, MI 48103
Phone (734) 761-2581
3200 W Liberty Rd
Ste C
Ann Arbor, MI 48103
Phone (734) 761-2581
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
Interoperability endpoints
- rkrishnashastry25907@direct.trinity-health.org
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.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Pediatrics Physician
- Ann Arbor, MI
- NPI 1417004003
-
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
- Home Health Agency
- Saline, MI
- NPI 1174704563
-
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- Home Health Agency
- Livonia, MI
- NPI 1508823774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1285998369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 JACKSON RD",
"address_2": "SUITE 200",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481031889",
"telephone_number": "734-761-2581",
"fax_number": "734-761-9540"
}
],
"practiceLocations": [
{
"address_1": "4350 Jackson Rd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481031889",
"country_code": "US",
"telephone_number": "734-761-2581",
"fax_number": "734-761-9540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRISHNASHASTRY",
"first_name": "RAMACHANDRA MEERA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301100129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.