Active NPI
Bipinchandra Hirisave Krishna, M.D.
- Psychiatry Physician
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 53713
- Practice address
- 1325 Satellite Blvd NW Ste 400
Suwanee, GA 30024-5299 - Phone
- (678) 263-3080
- Fax
- (678) 496-9863
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301088072 | MI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 53713 | MN | |
| Psychiatry Physician | 2084P0800X | 53713 | MN | Primary |
Addresses
Primary practice location
1325 Satellite Blvd NW Ste 400
Suwanee, GA 30024-5299
Mailing address
1325 Satellite Blvd NW Ste 400
Suwanee, GA 30024-5299
Phone (678) 263-3080
Other practice location 1
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1325 Satellite Blvd NW
Suite 400
Suwanee, GA 30024-5299
Phone (678) 263-3080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088072 | MI | MD | Psychiatry Physician |
| 53713 | MN | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Professionals of Georgia, LLC | Psychiatry | Current | Accepting new patients |
| Mayo Clinic Health System-Fairmont | Current | Accepting new patients |
Locations
286 S Main St
Ste 100
Alpharetta, GA 30009
Phone (248) 660-0487
17 Executive Park Dr NE
Ste 450
Atlanta, GA 30329
Phone (404) 470-4333
3825 Medical Park Dr
Ste 102
Austell, GA 30106
Phone (678) 439-0003
1810 Peachtree Industrial Blvd
Ste 204
Duluth, GA 30097
Phone (770) 513-7666
227 Scenic Hwy
Ste A
Lawrenceville, GA 30046
Phone (770) 462-5722
1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
Interoperability endpoints
- bipinchandra.krishna.1@25899.direct.athenahealth.com
- bhirisavekrishna90234@ehrdirect.mayoclinicmsg.org
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Suwanee, GA
- NPI 1396277968
-
- Multi-Specialty Clinic/Center
- Fairmont, MN
- NPI 1366410862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1386854651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 SATELLITE BLVD NW STE 400",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300245299",
"telephone_number": "678-263-3080",
"fax_number": "678-496-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SATELLITE BLVD NW STE 400",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300245299",
"telephone_number": "678-263-3080",
"fax_number": "678-496-9863"
}
],
"practiceLocations": [
{
"address_1": "1025 Marsh St",
"address_purpose": "LOCATION",
"city": "Mankato",
"state": "MN",
"postal_code": "560014752",
"country_code": "US",
"telephone_number": "507-625-4031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIRISAVE KRISHNA",
"first_name": "BIPINCHANDRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301088072",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MN",
"license": "53713",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "53713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.