Individual provider Active NPI

Rajasri P Krishnamurthy, M.D.

  • Internal Medicine Physician
  • West Melbourne, FL
National Provider Identifier
1457408932
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME97696 Issued in FL
Practice address
2795 W New Haven Ave
West Melbourne, FL 32904-3705
Phone
(321) 622-8626
Fax
(321) 622-8627
NPI assigned
Jan 5, 2007
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME97696 FL Primary

Addresses

Primary practice location

2795 W New Haven Ave
West Melbourne, FL 32904-3705

Mailing address

PO Box 411685
Melbourne, FL 32941-1685
Phone (321) 622-8626

Other identifiers 4

IdentifierTypeStateIssuer
277483600MedicaidFL
ME97696OtherFLMEDICAL LICENSE
PO1346567OtherFLRRMR
AB134XOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070301000415 FL Practitioner - Internal Medicine 2961504428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Internal Medicine and Walk-in ClinicGroup PAC ID 9133254980, 3 clinicians

Practice addresses (Care Compare)

2795 W New Haven Ave
West Melbourne, FL 32904-3705
Phone (321) 622-8626

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME97696FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Internal Medicine & Walk-in Clinic CurrentSince Jan 1, 2020 Accepting new patients
Osler Medical Inc Past Accepting new patients

Locations

2795 W New Haven Ave
West Melbourne, FL 32904
Phone (321) 622-8626

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDGIAA/Endpoint/IDGIAA
  • Direct secure messaging: rkrishnamurthy71376@epicdirect.hf.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1457408932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411685",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329411685",
            "telephone_number": "321-622-8626",
            "fax_number": "321-622-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W NEW HAVEN AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043705",
            "telephone_number": "321-622-8626",
            "fax_number": "321-622-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAMURTHY",
        "first_name": "RAJASRI",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME97696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277483600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME97696",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMR",
            "identifier": "PO1346567",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AB134X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

Verify at the official NPI Registry.