NPIMap

Individual provider Active NPI

Krishnan Babu, M.D

  • Nephrology Physician
  • Springfield, MA
National Provider Identifier
1396725487
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
210555 Issued in MA
Practice address
100 Wason Ave
Siute 200
Springfield, MA 01107-1381
Phone
(413) 733-9666
Fax
(413) 750-3432
NPI assigned
Jan 17, 2006
Last updated
Feb 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 210555 MA Primary
Nephrology Physician 207RN0300X 039706 CT

Addresses

Primary practice location

100 Wason Ave
Siute 200
Springfield, MA 01107-1381

Mailing address

PO Box 70266
Springfield, MA 01107-0266
Phone (413) 733-9666

Other identifiers 1

IdentifierTypeStateIssuer
0160121MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070406000238 MA Practitioner - Nephrology 0941304620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
State University of New York Downstate Medical Center, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal and Transplant Associates of the Northeast PCGroup PAC ID 2860836327, 7 clinicians
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

3550 Main St
Suite 204
Springfield, MA 01107-1078
Phone 4138672500101

444 Montgomery St
Chicopee, MA 01020-1969
Phone (413) 594-3111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal & Transplant Assoc of the Northeast PC Nephrology CurrentSince Feb 1, 2024 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Jun 1, 2016 Accepting new patients
Western New England Renal and Transplant Associates, P.C. Nephrology CurrentSince Jan 2, 2015 Accepting new patients
Riverbend Medical Group, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

113 Elm St
Enfield, CT 06082
Phone (860) 253-5196

701 Enfield St
Ste 160
Enfield, CT 06082
Phone (860) 749-5975

444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111

100 Wason Ave
Ste 200
Springfield, MA 01107
Phone (413) 773-5797

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

3550 Main St
Ste 204
Springfield, MA 01107
Phone (413) 733-2204

426 Winchester St
#B
Keene, NH 03431
Phone (603) 355-9998

Interoperability endpoints

  • Direct secure messaging: kbabu20084@direct.acumenmd.com

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1396725487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70266",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011070266",
            "telephone_number": "413-733-9666",
            "fax_number": "413-750-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVE",
            "address_2": "SIUTE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071381",
            "telephone_number": "413-733-9666",
            "fax_number": "413-750-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABU",
        "first_name": "KRISHNAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "210555",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "039706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160121",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.