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
Hospital & facility affiliations 5
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
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
- The Nebraska Methodist Hospital
- Cass County Memorial Hospital
- Myrtue Medical Center
- Clarinda Regional Health Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5378 | NE | MD | Internal Medicine Physician |
| MD-51888 | IA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Internal Medicine | Current |
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
- krishan.ariyarathna@direct.nmhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Olive Anderson
- Robert Scott Andrews
- Any Time Transportation Services
- Area Education Agency No #13
- Area Education Agency No #13
- Jamie Armbruster
- Robert W Armbruster
- Nancy R. Askeland
- Amanda Askey
- Assisted Living Concepts Inc
All providers in Council Bluffs, IA · Hospitalist Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.