Individual provider Active NPI

Lavanya Parachuru Krishnan, M.D.

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1316263759
Registry record updated Nov 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A130272 Issued in CA
Practice address
459 Geary St
Suite 400
San Francisco, CA 94102-1273
Phone
(415) 329-5100
Fax
(415) 964-5553
NPI assigned
Apr 9, 2010
Last updated
Nov 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A130272 CA Primary

Addresses

Primary practice location

459 Geary St
Suite 400
San Francisco, CA 94102-1273

Mailing address

459 Geary St
Suite 400
San Francisco, CA 94102-1273
Phone (415) 329-5100

Other names 1

  • Mrs. Lavanya Parachuru Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20141027001794 CA Practitioner - Dermatology 7012138514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lavanya Krishnan MD a Medical CorporationGroup PAC ID 1759660541, 3 clinicians

Practice addresses (Care Compare)

459 Geary St
Suite 400
San Francisco, CA 94102-1275
Phone (415) 329-5100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions60
Removal or shaving of skin growth1-10
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130272CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Square Dermatology a Professional Corporation Dermatology CurrentSince May 6, 2016 Accepting new patients
Lavanya Krishnan MD, a Medical Corporation Dermatology CurrentSince Oct 11, 2016 Accepting new patients

Locations

450 Sutter St
Rm 830
San Francisco, CA 94108
Phone (415) 362-2238

459 Geary St
Ste 400
San Francisco, CA 94102
Phone (415) 329-5100

Interoperability endpoints

  • Direct secure messaging: lavanya.krishnan.1@30093.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478995200000",
    "number": "1316263759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 GEARY ST",
            "address_2": "SUITE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021273",
            "telephone_number": "415-329-5100",
            "fax_number": "415-964-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 GEARY ST",
            "address_2": "SUITE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021273",
            "telephone_number": "415-329-5100",
            "fax_number": "415-964-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "LAVANYA",
        "middle_name": "PARACHURU",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2016-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A130272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAVANYA",
            "last_name": "PARACHURU",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.