Krishna Kishore Bezwada, MD
Individual provider Active NPI Psychiatry Physician · El Dorado Hills, CA
NPI 1346458478 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1346458478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- C167815 (CA)
- Practice address
- 1020 Suncast LN Ste 108
El Dorado Hills, CA 95762-9335 - Phone
- (916) 932-0378
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mindful Health Solutions a Professional Medical Corporation
Practice addresses (Care Compare)
1020 Suncast LN
Suite 108
El Dorado Hills, CA 95762-9335
Phone (916) 932-0380
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121128000122 | NY | Practitioner - Psychiatry | 6709038698 | Reassigns benefits to 7 organizations |
| I20200710001400 | CA | Practitioner - Psychiatry | 6709038698 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C167815 | CA | MD | Psychiatry Physician |
| 251956 | NY | MD | Psychiatry Physician |
| 0116016255 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krishna K. Bezwada, M.D., Inc. | Psychiatry | Current |
Accepting new patients |
| Good Samaritan Hospital Medical | Current |
Accepting new patients | |
| St Charles Hospital Corp | Current |
Accepting new patients | |
| Mercy Medical Center | Current |
Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Current |
Accepting new patients | |
| St. Joseph Hospital | Current |
Accepting new patients | |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| Mindful Health Solutions a Professional Medical Corporation | Psychiatry | Current |
Accepting new patients |
| St Francis Hospital United States Catholic Conference | Current |
Accepting new patients | |
| Mercy Medical Center | Current |
Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Current |
Accepting new patients | |
| St. Catherine of Siena Medical Center | Current |
Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| St. Francis Hospital | Current |
Accepting new patients | |
| St. Francis Hospital | Current | Accepting new patients | |
| St John'S Medical Services PC | Past | Accepting new patients |
Locations
1860 El Camino Real
Ste 250
Burlingame, CA 94010
Phone (650) 449-8718
1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380
9245 Laguna Springs Dr
Ste 140
Elk Grove, CA 95758
Phone (844) 967-8444
3300 Webster St
Ste 803
Oakland, CA 94609
8775 Sierra College Blvd
Ste 200
Roseville, CA 95661
Phone (916) 294-7062
350 University Ave
Ste 101
Sacramento, CA 95825
Phone (866) 788-5241
7700 Folsom Blvd
Sacramento, CA 95826
Phone (916) 386-3000
360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819
1111 W Robinhood Dr
Ste L
Stockton, CA 95207
Phone (209) 952-0821
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
111 E 210th St
Bronx, NY 10467
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
420 E 76th St
New York, NY 10021
Phone (212) 434-5300
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Interoperability endpoints
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 251956 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116016255 | VA | |
| Psychiatry Physician | 2084P0800X | C167815 | CA | Yes |
Addresses
Primary practice location
1020 Suncast LN Ste 108
El Dorado Hills, CA 95762-9335
Mailing address
377 Tobrurry Way
Folsom, CA 95630-6336
Phone (516) 984-1646
Other practice location 1
630 Rogers Cir
Folsom, CA 95630-7753
Phone (516) 984-1646
Other providers in El Dorado Hills, CA
- Richard A. Bermudes
- Kristine Bertsch
- Corinn M Betley
- Beyond Physical Medicine and Rehabilitation Inc
- Beyond Physical Medicine and Rehabilitation, Inc
- Jacqueline Ruth Biller
- Danielle Lynn Bingel
- Valentina Bingley
- Jennifer Binnag
- Hennessee Bishop
All providers in El Dorado Hills, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.