Individual provider Active NPI

Krishna Mohan Baradhi, M.D

  • Nephrology Physician
  • Tulsa, OK
National Provider Identifier
1538360573
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
29677 Issued in OK
Practice address
8921 S Mingo Rd
Tulsa, OK 74133-5841
Phone
(918) 577-3726
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 29677 OK Primary

Addresses

Primary practice location

8921 S Mingo Rd
Tulsa, OK 74133-5841

Mailing address

1011 Honor Heights Dr
Muskogee, OK 74401-1318
Phone (918) 577-3726

Other identifiers 1

IdentifierTypeStateIssuer
200498830AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OK, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120817000081 FL Practitioner - NephrologyPractitioner - Internal Medicine 6800948779 Reassigns benefits to 2 organizations
I20130917000787 OK Practitioner - NephrologyPractitioner - Internal Medicine 6800948779 Reassigns benefits to 2 organizations
I20250206003016 TX Practitioner - Nephrology 6800948779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tni-Kso PCGroup PAC ID 2062464399, 20 clinicians
Post Acute Specialists of Florida PLLCGroup PAC ID 7214389279, 15 clinicians

Practice addresses (Care Compare)

1145 S Utica Ave
Suite 364
Tulsa, OK 74104-4004
Phone 9187125000144

508 S Habana Ave
Suite 300
Tampa, FL 33609-4144
Phone (888) 636-4727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.46 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
84.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists of Texas PA CurrentSince Feb 24, 2025 Accepting new patients
Board of Regents of the University of Oklahoma Ou Physicians Tulsa CurrentSince Jul 1, 2013 Accepting new patients
Tni-Kso PC Nephrology CurrentSince Dec 14, 2025 Accepting new patients
Post Acute Specialists of Florida PLLC Nephrology CurrentSince Feb 24, 2025 Accepting new patients
Inspire Medical Care PA Nephrology CurrentSince Jun 1, 2025 Accepting new patients

Locations

4701 Manatee Ave W
Bradenton, FL 34209
Phone (941) 795-3844

508 S Habana Ave
Ste 300
Tampa, FL 33609
Phone (813) 877-6770

2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060

6465 S Yale Ave
Ste 507
Tulsa, OK 74136
Phone (918) 481-2760

1111 S Saint Louis Ave
Tulsa, OK 74120
Phone (918) 619-4600

591 E 36th St N
Tulsa, OK 74106
Phone (918) 619-8700

1145 S Utica Ave
Ste 364
Tulsa, OK 74104
Phone (918) 496-5195

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

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 1

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1538360573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HONOR HEIGHTS DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744011318",
            "telephone_number": "918-577-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335841",
            "telephone_number": "918-577-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARADHI",
        "first_name": "KRISHNA",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "29677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200498830A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.