Bhuvanendram Indrakrishnan, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

042289 Issued in GA

Practice address

475 Philip Blvd
Suite 304
Lawrenceville, GA 30046-8737

Phone

(678) 377-8252

Fax

(770) 963-0122

NPI assigned

Oct 19, 2006

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Gastroenterology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gwinnett Digestive Clinic, PC

  • Specialist
  • Lawrenceville, GA
  • NPI 1497898381
  Medicare reassignment NPD Authorized official
• GDC Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Duluth, GA
  • NPI 1811052749
  NPD Authorized official
• North Georgia Digestive Disease Consultants, LLC

  • Gastroenterology Physician
  • Lawrenceville, GA
  • NPI 1972755650
  NPD Authorized official
• Ambulatory Surgery Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Lawrenceville, GA
  • NPI 1336328293
  NPD (past) Authorized official
• Aga Professional Services, LLC

  • Gastroenterology Physician
  • Atlanta, GA
  • NPI 1063799120
  NPD (past)

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

• Northside Hospital, Inc.

  dba Northside Hospital Gwinnett

  • General Acute Care Hospital
  • Lawrenceville, GA
  • NPI 1952340994
  Care Compare affiliation

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1598847618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2887 DARLINGTON RUN",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974315",
            "telephone_number": "678-377-8252",
            "fax_number": "770-963-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 PHILIP BLVD",
            "address_2": "SUITE 304",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468737",
            "telephone_number": "678-377-8252",
            "fax_number": "770-963-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDRAKRISHNAN",
        "first_name": "BHUVANENDRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "042289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illumination Counseling and Coaching, LLC
• Lovely Imasuen
• Holli Imig, MSCCCSLP
• Impact Health LLC
• In-Home Physical Therapy
• Infiglow (Mobility Plus)
• Infinite Life Homecare
• Infinity Asd Services, LLC
• Infusion Care of Georgia, LLC (Vital Care of Lawrenceville)
• Tyronza Ingram-Cooper, LPC

• Gastroenterology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.