Krishnan S. Kumar, M.D., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KRISHNAN S. KUMAR, M.D., P.C.

Practice address

1900 Opitz Blvd Ste a
Woodbridge, VA 22191-3320

Phone

(703) 494-0912

Fax

(240) 337-2652

NPI assigned

Nov 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krishnan S Kumar, M.D.NPI 1801851720

Title

President

Phone

(703) 494-0912

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krishnan S Kumar, MD

  • Pediatrics Physician
  • Woodridge, VA
  • NPI 1801851720
  NPD (past) Authorized official
• Betsy Giannuzzi, MS, CRNP

  • Pediatric Nurse Practitioner
  • Woodbridge, VA
  • NPI 1164553442
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588730790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OPITZ BLVD STE A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913320",
            "telephone_number": "703-494-0912",
            "fax_number": "240-337-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OPITZ BLVD STE A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913320",
            "telephone_number": "703-494-0912",
            "fax_number": "240-337-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNAN S. KUMAR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "KRISHNAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-494-0912",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6729436",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6729444",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Anne Korpics, PHARMACIST
• Cherie Koslow, OT
• Christina Gayle Kovach
• Elaine Sue Kramer, PH.D
• Megan L Krenz, MSW
• Alyssa Kroll
• Krueger Integrative Care, LLC
• Diana Rachel Kuhl-Chapman, MSW
• Ajay Kumar, M.D
• Leticia Kusi, NP

• Pediatrics Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.