Active NPI
Prashant Vasanth Krishnan, M.D.
- Gastroenterology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 77572
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66681235 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 139 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 239 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48094 | CO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Gi Associates | Gastroenterology | Current | Accepting new patients |
| Salida Hospital District | Family Medicine | Current | Accepting new patients |
| Peak Gastroenterology Associates | Gastroenterology | Current | Accepting new patients |
| Surgical Center of Peak Endoscopy, LLC | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Trinidad Area Health Association | Current | Accepting new patients | |
| Reddy Gi Associates | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | 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 | Current | Accepting new patients | |
| Salida Hospital District | Current | Accepting new patients | |
| Trinidad Area Health Association | Family Medicine | Current | Accepting new patients |
| Portercare Adventist Health System | Current | 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
- 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.
-
- Gastroenterology Physician
- Mesa, AZ
- NPI 1194957241
-
- Gastroenterology Physician
- Colorado Springs, CO
- NPI 1023112117
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- Critical Access Hospital
- Salida, CO
- NPI 1730258971
-
- Family Medicine Physician
- Trinidad, CO
- NPI 1467400309
-
- Ambulatory Surgical Clinic/Center
- Gilbert, AZ
- NPI 1164871075
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1508399544
-
- Obstetrics & Gynecology Physician
- Parker, CO
- NPI 1174867501
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1073172201
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1124518113
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1144397134
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1154030732
-
- General Acute Care Hospital
- Fountain, CO
- NPI 1295225274
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1316506231
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1407532559
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1518526441
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1538958400
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1578053567
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1598324428
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1629746599
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.