Individual provider Active NPI

Vidya Krishnamurthy, M.D

  • Pediatrics Physician
  • Alpharetta, GA
National Provider Identifier
1497702872
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
057528 Issued in GA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
553342565AMedicaidGA

Other names 1

  • Dr. Vidya Kasinathan Former name

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

LicenseStateTypeSpecialty
057528GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Pediatrics & Genetics, LLC Clinical Genetics (M.D.) PastSince Apr 20, 2021 Accepting new patients
Georgia Genetics, LLC Clinical Genetics (M.D.) PastSince Apr 20, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vidya.krishnamurthy.1@33505.direct.athenahealth.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.