Individual provider Active NPI

Krishna Patel, M.D.

  • Family Medicine Physician
  • East Point, GA
National Provider Identifier
1417301078
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A167501 Issued in CA
Practice address
3360 Shelby LN Ste 1030
East Point, GA 30344-5745
Phone
(943) 230-1441
Fax
(404) 868-5691
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 83863 GA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A167501 CA Primary

Addresses

Primary practice location

3360 Shelby LN Ste 1030
East Point, GA 30344-5745

Mailing address

1050 Howell Mill Rd NW Apt S161
Atlanta, GA 30318-1676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 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
I20200208000049 CA Practitioner - Family Practice 7113353277 Reassigns benefits to 2 organizations
I20260611004262 GA Practitioner - Family Practice 7113353277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 Lake Hearn Dr
Suite 160
Atlanta, GA 30342-1512

132 Christina Marie Dr
O Fallon, MO 63368-7872

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167501CAMDFamily Medicine Physician
83863GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Aug 12, 2022 Accepting new patients
University of California San Francisco CurrentSince Aug 12, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 12, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 12, 2022 Accepting new patients
Vera Whole Health Wa PC Past Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

1955 Broadway
Ste A
Oakland, CA 94612

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 392-8200

1823 Union St
San Francisco, CA 94123
Phone (415) 590-6148

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

2950 S Delaware St
Ste 150
San Mateo, CA 94403

1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1417301078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 HOWELL MILL RD NW APT S161",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 SHELBY LN STE 1030",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445745",
            "telephone_number": "943-230-1441",
            "fax_number": "404-868-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRISHNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "83863",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A167501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.