NPIMap

Individual provider Active NPI

Muthu S. Krishnan, MD

  • Interventional Cardiology Physician
  • Osage Beach, MO
National Provider Identifier
1528089539
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
R5P38 Issued in MO
Practice address
1191 Highway KK
Suite 300
Osage Beach, MO 65065-3510
Phone
(573) 302-4960
Fax
(573) 302-4965
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R5P38 MO
Interventional Cardiology Physician 207RI0011X R5P38 MO Primary

Addresses

Primary practice location

1191 Highway KK
Suite 300
Osage Beach, MO 65065-3510

Mailing address

PO Box 1500
Osage Beach, MO 65065-1500

Other identifiers 3

IdentifierTypeStateIssuer
1528089539MedicaidMO
P00853879OtherMORAILROAD MEDICARE
507408201MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000636 MO Practitioner - Cardiovascular Disease (Cardiology) 8123048535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Regional Health SystemGroup PAC ID 9133026776, 132 clinicians

Practice addresses (Care Compare)

1191 Hwy KK
Suite 300
Osage Beach, MO 65065-3510
Phone (573) 302-4960

226 E US Hwy 54
Camdenton, MO 65020-6819
Phone (573) 873-2521

54 Hospital Dr
Osage Beach, MO 65065-3050

755 Cowan Dr
Lebanon, MO 65536-4629
Phone (417) 532-2805

Hospital & facility affiliations

  • Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141
  • Mercy Hospital Lebanon Hospital, Lebanon, MO, CCN 260059
  • SSM Health St. Mary'S Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

Merit-based Incentive Payment System (MIPS)

Final score
89.58 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
65.27

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting77
Pacemaker insertion or repair20
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Regional Medical Management, Inc. CurrentSince Oct 1, 2010 Accepting new patients
Lake Regional Health System CurrentSince Apr 1, 2025 Accepting new patients
Lake Regional Health System Current Accepting new patients
Lake Regional Health System CurrentSince Apr 1, 2025 Accepting new patients
The Curators of the University of Missouri Past Accepting new patients
Curators of the University of Missouri Past Accepting new patients
Lake Regional Health System Past Accepting new patients

Locations

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

1191 Highway KK
Ste 300
Osage Beach, MO 65065
Phone (573) 302-2275

54 Hospital Dr
Ste 206
Osage Beach, MO 65065
Phone (573) 302-2267

844 Passover Rd
Osage Beach, MO 65065
Phone (573) 348-2225

Interoperability endpoints

  • Direct secure messaging: muthukrishnan@mhccaremail.com

Organizations & group practices 7

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1528089539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650651500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 HIGHWAY KK",
            "address_2": "SUITE 300",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653510",
            "telephone_number": "573-302-4960",
            "fax_number": "573-302-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "MUTHU",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R5P38",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "R5P38",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528089539",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00853879",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507408201",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

Verify at the official NPI Registry.