Active NPI
Vidya Krishnamurthy, M.D
- Pediatrics Physician
- Alpharetta, GA
National Provider Identifier
1497702872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 057528
- Practice address
- 3180 N Point Pkwy Ste 202
Alpharetta, GA 30005-4381 - Phone
- (770) 346-0132
- Fax
- (770) 346-0165
- NPI assigned
- May 30, 2006
- Last updated
- Apr 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 057528 | GA | |
| Pediatrics Physician | 208000000X | 057528 | GA | Primary |
Addresses
Primary practice location
3180 N Point Pkwy Ste 202
Alpharetta, GA 30005-4381
Mailing address
3180 N Point Pkwy Ste 202
Alpharetta, GA 30005-4381
Phone (770) 346-0132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 553342565A | Medicaid | GA |
Other names 1
- Dr. Vidya Kasinathan
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057528 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Pediatrics & Genetics, LLC | Clinical Genetics (M.D.) | Past | Accepting new patients |
| Georgia Genetics, LLC | Clinical Genetics (M.D.) | Past | Accepting new patients |
Interoperability endpoints
- vidya.krishnamurthy.1@33505.direct.athenahealth.com
- vkrishnamurthy37946@choa.gadirect.net
Organizations & group practices 3
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.
-
- Clinical Genetics (M.D.) Physician
- Alpharetta, GA
- NPI 1992985741
-
- Pediatrics Physician
- Alpharetta, GA
- NPI 1225229693
Clinical Genetics (M.D.)
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1497702872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 N POINT PKWY STE 202",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054381",
"telephone_number": "770-346-0132",
"fax_number": "770-346-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 N POINT PKWY STE 202",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054381",
"telephone_number": "770-346-0132",
"fax_number": "770-346-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNAMURTHY",
"first_name": "VIDYA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "GA",
"license": "057528",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "057528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "553342565A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIDYA",
"last_name": "KASINATHAN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.