Individual provider Active NPI

Saritha Tthittappillil Krishnan, M.D.

  • Pediatrics Physician
  • Sedalia, MO
National Provider Identifier
1649305913
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2007031715 Issued in MO
Practice address
2873 S Ingram Ave
Sedalia, MO 65301-8480
Phone
(913) 244-2323
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2007031715 MO Primary

Addresses

Primary practice location

2873 S Ingram Ave
Sedalia, MO 65301-8480

Mailing address

2873 S Ingram Ave
Sedalia, MO 65301-8480
Phone (913) 244-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240613000332 PA Practitioner - Pediatric Medicine 8426590886 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007031715MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sadler Health Center Corporation CurrentSince Jun 6, 2024 Accepting new patients
Sadler Health Center Corporation Current Accepting new patients
Sadler Health Center Corporation Past Accepting new patients

Locations

100 N Hanover St
Carlisle, PA 17013
Phone (717) 218-6670

1 Tyler Ct
Ste 2
Carlisle, PA 17015

5210 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 218-6670

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EABGBA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1649305913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2873 S INGRAM AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653018480",
            "telephone_number": "913-244-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2873 S INGRAM AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653018480",
            "telephone_number": "913-244-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "SARITHA",
        "middle_name": "TTHITTAPPILLIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2007031715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.