Active NPI
Krishnamurthi Mahalingam, M.D.
- Surgery Physician
- Cincinnati, OH
National Provider Identifier
1487636866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35037592
- Practice address
- 3310 Mercy Health Blvd Ste 110
Cincinnati, OH 45211-1121 - Phone
- (513) 215-5030
- Fax
- (888) 972-9271
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35037592 | OH | Primary |
Addresses
Primary practice location
3310 Mercy Health Blvd Ste 110
Cincinnati, OH 45211-1121
Mailing address
4059 Retreat Dr
Cincinnati, OH 45241-3099
Phone (513) 325-9025
Other practice location 1
10480 Carriage Trl
Cincinnati, OH 45242-4539
Phone (513) 325-9025
Other practice location 2
4059 Retreat Dr
Cincinnati, OH 45241-3099
Phone (513) 325-9025
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1315389 | Other | OH | UMWA |
| 0052848 | Medicaid | OH | |
| 13069 | Other | OH | NATIONWIDE |
| 1138648001 | Other | OH | CIGNA |
| 000000007488 | Other | OH | ANTHEM |
| 310837421 | Other | OH | WAUSAU |
| 31083742102 | Other | OH | EMERALD HEALTH |
| 0370058 | Medicaid | OH | |
| 0641849 | Other | OH | AETNA |
| 200181050A | Medicaid | OH | |
| 6476721300 | Medicaid | KY | |
| 1701223 | Other | OH | UNITED HEALTHCARE |
Other names 1
- Kris Mahalingam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35037592 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1487636866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4059 RETREAT DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452413099",
"telephone_number": "513-325-9025",
"fax_number": "888-972-9271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 MERCY HEALTH BLVD STE 110",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452111121",
"telephone_number": "513-215-5030",
"fax_number": "888-972-9271"
}
],
"practiceLocations": [
{
"address_1": "10480 Carriage Trl",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452424539",
"country_code": "US",
"telephone_number": "513-325-9025",
"fax_number": "513-793-2287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4059 Retreat Dr",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452413099",
"country_code": "US",
"telephone_number": "513-325-9025",
"fax_number": "888-972-9271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHALINGAM",
"first_name": "KRISHNAMURTHI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35037592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1315389",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0052848",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "13069",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1138648001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000007488",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WAUSAU",
"identifier": "310837421",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMERALD HEALTH",
"identifier": "31083742102",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0370058",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0641849",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200181050A",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6476721300",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1701223",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRIS",
"last_name": "MAHALINGAM",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.