Individual provider Active NPI

Prashant Vasanth Krishnan, M.D.

  • Gastroenterology Physician
  • Mesa, AZ
National Provider Identifier
1689883993
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
77572 Issued in AZ
Practice address
5555 E Baseline Rd
Mesa, AZ 85206-4709
Phone
(480) 393-0575
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 48094 CO
Gastroenterology Physician 207RG0100X 77572 AZ Primary

Addresses

Primary practice location

5555 E Baseline Rd
Mesa, AZ 85206-4709

Mailing address

2920 N Cascade Ave
3Rd Floor
Colorado Springs, CO 80907-6262
Phone (719) 636-1201

Other practice location 1

595 Chapel Hills Dr Ste 303
Colorado Springs, CO 80920-1057
Phone (719) 636-1201

Other practice location 2

2920 N Cascade Ave
3rd Floor
Colorado Springs, CO 80907-6262
Phone (719) 636-1201

Other identifiers 1

IdentifierTypeStateIssuer
66681235MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100204000688 CO Practitioner - GastroenterologyPractitioner - Internal Medicine 3274622881 Reassigns benefits to 6 organizations
I20250716000727 AZ Practitioner - Gastroenterology 3274622881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Peak Gastroenterology AssociatesGroup PAC ID 2961484365, 32 clinicians
Reddy Gi AssociatesGroup PAC ID 1557407459, 18 clinicians

Practice addresses (Care Compare)

1400 E Boulder
Suite 2410 Pre Procedure Memorial
Colorado Springs, CO 80909-5533
Phone (719) 365-6525

1400 E Boulder St
Colorado Springs, CO 80909-5533

2920 N Cascade Ave
Colorado Springs, CO 80907-6262
Phone (719) 636-1201

4050 Briargate Pkwy
Colorado Springs, CO 80920-7815

4080 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 365-6800

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

5555 E Baseline Rd
Mesa, AZ 85206-4709
Phone (480) 393-0575

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy139
Upper gastrointestinal (GI) endoscopy for acid reflux239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48094COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Gi Associates Gastroenterology CurrentSince Aug 1, 2025 Accepting new patients
Salida Hospital District Family Medicine CurrentSince Oct 20, 2015 Accepting new patients
Peak Gastroenterology Associates Gastroenterology CurrentSince Oct 1, 2013 Accepting new patients
Surgical Center of Peak Endoscopy, LLC Current Accepting new patients
Portercare Adventist Health System CurrentSince Feb 17, 2014 Accepting new patients
Trinidad Area Health Association CurrentSince Nov 1, 2018 Accepting new patients
Reddy Gi Associates CurrentSince Jul 9, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 14, 2015 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Central Arizona Gi & Liver Institute LLC CurrentSince Aug 1, 2025 Accepting new patients
Salida Hospital District CurrentSince Oct 20, 2015 Accepting new patients
Trinidad Area Health Association Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 17, 2014 Accepting new patients
Salida Hospital District Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

4001 E Baseline Rd
#102103
Gilbert, AZ 85234

4001 E Baseline Rd
Ste 102
Gilbert, AZ 85234
Phone (480) 565-8045

4001 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 926-6200

5555 E Baseline Rd
Mesa, AZ 85206
Phone (480) 393-5075

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

2920 N Cascade Ave
Fl 3
Colorado Springs, CO 80907
Phone (719) 495-6372

1615 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 635-7740

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

4050 Briargate Pkwy
Ste A2115
Colorado Springs, CO 80920
Phone (719) 365-5543

1400 E Boulder St
Ste 1722
Colorado Springs, CO 80909
Phone (719) 364-3640

2920 N Cascade Ave
Ste 301
Colorado Springs, CO 80907
Phone (719) 659-0275

595 Chapel Hills Dr
Ste 303
Colorado Springs, CO 80920
Phone (719) 574-0310

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2920 N Cascade Ave
Ste 1
Colorado Springs, CO 80907

1370 Interquest Pkwy
Ste 320
Colorado Springs, CO 80921

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2535 S Downing St
Ste 410
Denver, CO 80210
Phone (303) 260-2740

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

2030 Mountain View Ave
Ste 310
Longmont, CO 80501
Phone (303) 772-6244

9403 Crown Crest Blvd
Ste 420
Parker, CO 80138
Phone (303) 925-4720

550 W US Highway 50
Salida, CO 81201
Phone (719) 530-2014

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

16222 W US Highway 24
Ste 210
Woodland Park, CO 80863
Phone (719) 686-2832

Interoperability endpoints

  • Direct secure messaging: prashant.krishnan@corhio.medicity.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1689883993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "3RD FLOOR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064709",
            "telephone_number": "480-393-0575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Chapel Hills Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809201057",
            "country_code": "US",
            "telephone_number": "719-636-1201",
            "fax_number": "719-955-0986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 N Cascade Ave",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076262",
            "country_code": "US",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "PRASHANT",
        "middle_name": "VASANTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "48094",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "77572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66681235",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.