Individual provider Active NPI

Malathi Krishnaswamy, M.D

  • Internal Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1336198035
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79447 Issued in FL
Practice address
4161 Tamiami TRL
BLDG 4
Port Charlotte, FL 33952-9208
Phone
(941) 235-2710
Fax
(941) 235-2712
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 ME79447 FL Primary

Addresses

Primary practice location

4161 Tamiami TRL
BLDG 4
Port Charlotte, FL 33952-9208

Mailing address

4161 Tamiami TRL
BLDG 4
Port Charlotte, FL 33952-9208
Phone (941) 235-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130509000075 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1456598549

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336198035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "BLDG 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529208",
            "telephone_number": "941-235-2710",
            "fax_number": "941-235-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "BLDG 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529208",
            "telephone_number": "941-235-2710",
            "fax_number": "941-235-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNASWAMY",
        "first_name": "MALATHI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.