Krishan Ariyarathna, MD

Individual provider Active NPI Hospitalist Physician · Council Bluffs, IA

NPI 1497975353 · NPPES record last updated Oct 21, 2024

Key facts

NPI
1497975353
Entity type
Individual (NPI type 1)
Primary specialty
Hospitalist Physician 208M00000X
License
MD-51888 (IA)
Practice address
933 E Pierce St
Council Bluffs, IA 51503-4626
Phone
(712) 396-4360
Fax
(712) 396-7069
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Medicare Care Compare profile

Specialty
Hospitalist
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic Inc (557 clinicians)

Practice addresses (Care Compare)

450 E 23Rd St
Fremont, NE 68025-2303
Phone (402) 721-1610

933 E Pierce St
Methodist Jennie Edmundson
Council Bluffs, IA 51503-4626
Phone (712) 396-7495

Hospital & facility affiliations

  • Methodist Jennie Edmundson Hospital · Council Bluffs, IA · CCN 160047
  • The Nebraska Methodist Hospital Hospital · Omaha, NE · CCN 280040
  • Cass County Memorial Hospital Hospital · Atlantic, IA · CCN 161376
  • Myrtue Medical Center Hospital · Harlan, IA · CCN 161374
  • Clarinda Regional Health Center Hospital · Clarinda, IA · CCN 161352

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NE, IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090923000611 NE Practitioner - Hospitalist 2668528266 Reassigns benefits to 2 organizations
I20231201002386 IA Practitioner - Hospitalist 2668528266 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5378NEMDInternal Medicine Physician
MD-51888IAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Internal Medicine Current
since Dec 31, 2023
Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Jennie Edmundson Memorial Hospital Past Accepting new patients
Kakish MD PC Past Accepting new patients

Locations

1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

Interoperability endpoints

  • Direct secure messaging: krishan.ariyarathna@direct.nmhs.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD-51888 IA Yes
Internal Medicine Physician 207R00000X 5378 NE

Addresses

Primary practice location

933 E Pierce St
Council Bluffs, IA 51503-4626

Mailing address

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-4360

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 21, 2024.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1497975353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 E PIERCE ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034626",
            "telephone_number": "712-396-4360",
            "fax_number": "712-396-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E PIERCE ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034626",
            "telephone_number": "712-396-4360",
            "fax_number": "712-396-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIYARATHNA",
        "first_name": "KRISHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "MD-51888",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "5378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

All providers in Council Bluffs, IA · Hospitalist Physician in Iowa

Sources for this page

Verify at the official NPI Registry.