Individual provider Active NPI

Rohini C Krishnan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Irving, TX
National Provider Identifier
1538149406
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G7669 Issued in TX
Practice address
4770 Regent Blvd
Irving, TX 75063-2445
Phone
(972) 934-4300
Fax
(972) 455-1212
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G7669 TX Primary

Addresses

Primary practice location

4770 Regent Blvd
Irving, TX 75063-2445

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614

Other identifiers 1

IdentifierTypeStateIssuer
116815505MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040103000031 TX Practitioner - Pathology 8729987292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NTX Pathology Program, PLLCGroup PAC ID 1850722919, 23 clinicians

Practice addresses (Care Compare)

900 8TH Ave
Fort Worth, TX 76104-3902
Phone (817) 347-5828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G7669TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Feb 3, 2014 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology Current Accepting new patients
NTX Pathology Program, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Oct 12, 2023 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Feb 3, 2014 Accepting new patients
Waco Gastroenterology Associates CurrentSince Mar 1, 2019 Accepting new patients

Locations

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

7777 Forest Ln
Ste C400
Dallas, TX 75230
Phone (972) 566-3900

4350 Alpha Rd
Dallas, TX 75244
Phone (972) 934-4300

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

2709 Hospital Blvd
Grand Prairie, TX 75051
Phone (469) 999-0000

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

400 W Lyndon B Johnson Fwy
Ste 101
Irving, TX 75063
Phone (972) 868-4000

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

4750 President George Bush Tpke
Sachse, TX 75048
Phone (214) 477-7647

364 Richland West Cir
#A
Waco, TX 76712
Phone (254) 537-0911

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Organizations & group practices 5

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1538149406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 REGENT BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632445",
            "telephone_number": "972-934-4300",
            "fax_number": "972-455-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "ROHINI",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "G7669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116815505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.