NPIMap

Individual provider Active NPI

Krishnan Perumbala

  • Podiatrist
  • Pittsburgh, PA
National Provider Identifier
1548848427
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC007192 Issued in PA
Practice address
1400 Locust Street
Building B, Room 9520
Pittsburgh, PA 15219
Phone
(412) 232-5515
Fax
(412) 232-5529
NPI assigned
Mar 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X SC007192 PA Primary

Addresses

Primary practice location

1400 Locust Street
Building B, Room 9520
Pittsburgh, PA 15219

Mailing address

3600 Forbes Avenue
Forbes Tower - Plaza Level Suite 140
Pittsburgh, PA 15213

Other practice location 1

1160 Manheim Pike Ste 200
Lancaster, PA 17601-3127
Phone (717) 735-1972

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kperumbala275222@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240307002872 PA Practitioner - Podiatry 8921401688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1160 Manheim Pike
Suite 200
Lancaster, PA 17601-3127
Phone (717) 735-1972

1251 E Main St
3 Upmc Orthopaedic Care
Annville, PA 17003-1643
Phone (717) 685-4433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue64
Removal of skin lesions1-10
Removal of nail tissue159
Removal or shaving of skin growth56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Feb 23, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 23, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 23, 2024 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Feb 23, 2024 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

1251 E Main St
Ste 3
Annville, PA 17003
Phone (717) 988-0555

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

121 Towne Square Dr
Ste 301
Hershey, PA 17033
Phone (717) 988-8148

1160 Manheim Pike
Ste 200
Lancaster, PA 17601
Phone (717) 231-8978

1555 Highlands Dr
Ste 190
Lititz, PA 17543
Phone (717) 291-8345

Interoperability endpoints

  • Direct secure messaging: krishnan.perumbala@upmcdirect.com
  • Direct secure messaging: kperumbala198146@upmc.direct-ci.com

Organizations & group practices 6

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 11

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1548848427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVENUE",
            "address_2": "FORBES TOWER - PLAZA LEVEL SUITE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOCUST STREET",
            "address_2": "BUILDING B, ROOM 9520",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15219",
            "telephone_number": "412-232-5515",
            "fax_number": "412-232-5529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Manheim Pike Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013127",
            "country_code": "US",
            "telephone_number": "717-735-1972",
            "fax_number": "717-735-2004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERUMBALA",
        "first_name": "KRISHNAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kperumbala275222@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1160 Manheim Pike Ste 200",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176013127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.