Organization Active NPI

Shylasree Krishnan, Physician, PLLC

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1689896276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214408 Issued in NY
Legal business name
SHYLASREE KRISHNAN, PHYSICIAN, PLLC
Practice address
220 Alexander St
Suite 106
Rochester, NY 14607-4008
Phone
(585) 546-1272
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shylasree Krishnan, M.D.
Title
Owner
Phone
(585) 546-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 214408 NY Primary

Addresses

Primary practice location

220 Alexander St
Suite 106
Rochester, NY 14607-4008

Mailing address

220 Alexander St
Suite 106
Rochester, NY 14607-4008
Phone (585) 546-1272

National Provider Directory

National Provider Directory

Locations

220 Alexander St
Ste 106
Rochester, NY 14607
Phone (585) 546-1272

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689896276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ALEXANDER ST",
            "address_2": "SUITE 106",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074008",
            "telephone_number": "585-546-1272",
            "fax_number": "585-325-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ALEXANDER ST",
            "address_2": "SUITE 106",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074008",
            "telephone_number": "585-546-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYLASREE KRISHNAN, PHYSICIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "SHYLASREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-546-1272",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • 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.