Individual provider Active NPI

Titte Seshadri Krishnaswamy, M.D.

  • Cardiovascular Disease Physician
  • Steilacoom, WA
National Provider Identifier
1376639187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00019181 Issued in WA
Practice address
253 Rigney Road
#D5
Steilacoom, WA 98388
Phone
(253) 589-0175
Fax
(253) 589-0175
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 00019181 WA Primary

Addresses

Primary practice location

253 Rigney Road
#D5
Steilacoom, WA 98388

Mailing address

P.O.Box 98765
Lakewood, WA 98498-0765
Phone (253) 589-0175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00019181WAMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376639187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 98765",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984980765",
            "telephone_number": "253-589-0175",
            "fax_number": "253-589-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 RIGNEY ROAD",
            "address_2": "#D5",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "98388",
            "telephone_number": "253-589-0175",
            "fax_number": "253-589-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNASWAMY",
        "first_name": "TITTE",
        "middle_name": "SESHADRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "00019181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steilacoom, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.