Individual provider Active NPI

Naveenkumar B Krishna, M.D

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1417180704
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036133820 Issued in IL
Practice address
9614 Huron Dr
Saint Louis, MO 63132-2021
Phone
(314) 620-0265
NPI assigned
Sep 2, 2009
Last updated
Mar 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2009018141 MO
Hospitalist Physician 208M00000X 036133820 IL
Internal Medicine Physician 207R00000X 036133820 IL Primary

Addresses

Primary practice location

9614 Huron Dr
Saint Louis, MO 63132-2021

Mailing address

9614 Huron Dr
Saint Louis, MO 63132-2021
Phone (314) 620-0265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130930000477 IL Practitioner - Internal Medicine 6709010085 Reassigns benefits to 2 organizations
I20211206002255 MO Practitioner - Internal Medicine 6709010085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036133820ILMDInternal Medicine Physician
2009018141MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Illinois Hospitalists, LLP Internal Medicine CurrentSince Dec 8, 2017 Accepting new patients
Cogent Healthcare of Missouri, Inc CurrentSince Jan 1, 2022 Accepting new patients
Cep America - Illinois SNF, LLP Internal Medicine Current Accepting new patients
Cep America - Illinois SNF, LLP Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Cep America - Illinois SNF LLP Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Dec 8, 2017 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

3490 Humbert Rd
Alton, IL 62002
Phone (618) 465-2626

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

3523 Wickenhauser Ave
Alton, IL 62002
Phone (618) 465-8887

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

6277 Center Grove Rd
Edwardsville, IL 62025
Phone (618) 288-1580

1623 W Delmar Ave
Godfrey, IL 62035
Phone (618) 466-0443

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 7

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 2

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": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1417180704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9614 HURON DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322021",
            "telephone_number": "314-620-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 HURON DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322021",
            "telephone_number": "314-620-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNA",
        "first_name": "NAVEENKUMAR",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2009018141",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036133820",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036133820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.