Individual provider Active NPI

Sanjay Krishnan, M.D.

  • Internal Medicine Physician
  • Deerfield, NH
National Provider Identifier
1477565851
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19139 Issued in NH
Practice address
107 Nottingham Rd
Deerfield, NH 03037-1514
Phone
(602) 881-5515
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19139 NH Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 19139 NH
Internal Medicine Physician 207R00000X 4301116248 MI
Internal Medicine Physician 207R00000X 34277 AZ
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 19139 NH

Addresses

Primary practice location

107 Nottingham Rd
Deerfield, NH 03037-1514

Mailing address

107 Nottingham Rd
Deerfield, NH 03037-1514
Phone (602) 881-5515

Other identifiers 2

IdentifierTypeStateIssuer
3114972MedicaidNH
947385MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20181123000066 NH Practitioner - Internal Medicine 2860422136 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest M PLLCGroup PAC ID 1355858630, 87 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

24 Peabody PL
Franklin, NH 03235-1607
Phone (603) 934-3718

33 Christian Ave
Concord, NH 03301-6128
Phone (603) 224-5363

93 Water Village Rd
Ossipee, NH 03864-7208
Phone (248) 660-1220

Hospital & facility affiliations

  • Lake Sunapee Home Care & Hospice Hospice, New London, NH, CCN 301509
  • Franklin Vna & Hospice Hospice, Franklin, NH, CCN 301527
  • New London Hospital Hospital, New London, NH, CCN 301304
  • Woodlawn Healthcare Center LLC Nursing home, Newport, NH, CCN 305097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301116248MIMDInternal Medicine Physician
19139NHMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Healthcare LLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Sep 29, 2025 Accepting new patients
Alignmed Partners, PC Geriatric Medicine CurrentSince Oct 17, 2018 Accepting new patients
Complexcare Medical Group Midwest M PLLC Internal Medicine CurrentSince Sep 13, 2025 Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients
Acclaimed Internal Medicine PLLC Hospitalist Past Accepting new patients
Diamond Medical Equipment L.L.C. PastSince Jan 21, 2016 Accepting new patients
Adam Internal Medicine PLLC Hospitalist Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

25 Ridgewood Rd
Bedford, NH 03110
Phone (603) 222-0303

33 Christian Ave
Concord, NH 03301
Phone (603) 224-5363

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

22 Tuck Rd
Hampton, NH 03842
Phone (603) 926-4551

298 Main St
Keene, NH 03431
Phone (310) 270-6181

191 Hackett Hill Rd
Manchester, NH 03102
Phone (603) 600-3255

93 Water Village Rd
Ossipee, NH 03864
Phone (603) 297-4416

139 Winter St
Tilton, NH 03276
Phone (603) 493-0665

8 Snow Rd
Winchester, NH 03470
Phone (603) 239-6355

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1477565851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NOTTINGHAM RD",
            "city": "DEERFIELD",
            "state": "NH",
            "postal_code": "030371514",
            "telephone_number": "602-881-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NOTTINGHAM RD",
            "city": "DEERFIELD",
            "state": "NH",
            "postal_code": "030371514",
            "telephone_number": "602-881-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "19139",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NH",
            "license": "19139",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301116248",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34277",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NH",
            "license": "19139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3114972",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "947385",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, NH

Sources for this page

Verify at the official NPI Registry.