Individual provider Active NPI

Anna Krishtul, MD

  • Dermatology Physician
  • West Palm Beach, FL
National Provider Identifier
1518124759
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME 111689 Issued in FL
Practice address
575 Fern St
West Palm Beach, FL 33401-5725
Phone
(561) 268-2000
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME 111689 FL Primary
Dermatology Physician 207N00000X 238027 NY

Addresses

Primary practice location

575 Fern St
West Palm Beach, FL 33401-5725

Mailing address

575 Fern St
West Palm Beach, FL 33401-5725
Phone (561) 268-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130917000328 FL Practitioner - DermatologyPractitioner - Diagnostic Radiology 1355499138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 1254640253, 17 clinicians

Practice addresses (Care Compare)

575 Fern St
West Palm Beach, FL 33401-5725
Phone (561) 268-2000

600 University Blvd
Jupiter, FL 33458-2778
Phone (561) 627-2210

Merit-based Incentive Payment System (MIPS)

Final score
83.46 of 100Reported as group
Quality
72.48
Promoting interoperability
100
Improvement activities
40
Cost
72.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions474
Removal or shaving of skin growth1-10
Skin biopsy113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 111689FLMDDermatology Physician
238027NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Dermatology CurrentSince Jun 1, 2018 Accepting new patients
Goldman Dermatology, PLLC PastSince Jun 17, 2005 Accepting new patients

Locations

600 University Blvd
Ste 200
Jupiter, FL 33458
Phone (561) 627-2210

3801 Pga Blvd
Ste 107
Palm Beach Gardens, FL 33410
Phone (561) 594-0050

575 Fern St
West Palm Beach, FL 33401
Phone (561) 268-2000

Interoperability endpoints

  • Direct secure messaging: akrishtul20222@jupitermedicalcenter.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1518124759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 FERN ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015725",
            "telephone_number": "561-268-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 FERN ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015725",
            "telephone_number": "561-268-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHTUL",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 111689",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "238027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.