Individual provider Active NPI

Geetha Priydarshini Krishnan, MD

  • Emergency Medicine Physician
  • Lake Geneva, WI
National Provider Identifier
1699067132
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
321104 Issued in LA
Practice address
N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone
(262) 245-0535
Fax
(262) 245-2248
NPI assigned
May 3, 2011
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 62300 CT
Emergency Medicine Physician 207P00000X 60129-20 WI
Emergency Medicine Physician 207P00000X 036.128889 IL
Emergency Medicine Physician 207P00000X 321104 LA Primary

Addresses

Primary practice location

N2950 State Road 67
Lake Geneva, WI 53147-2655

Mailing address

N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone (262) 245-0535

Other practice location 1

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

Other identifiers 4

IdentifierTypeStateIssuer
036128889 2MedicaidIL
KRISHGEEOtherWIMERCYCARE INSURANCE
1699067132MedicaidWI
1699067132OtherWIBCBSWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, ND, MD, DC, IN, NM, PA8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20111205000749 IL Practitioner - Emergency Medicine 5092980938 Reassigns benefits to 1 organization
I20130321000654 WI Practitioner - Emergency Medicine 5092980938 Reassigns benefits to 1 organization
I20171017003842 ND Practitioner - Emergency Medicine 5092980938 Reassigns benefits to 1 organization
I20180727000799 MD Practitioner - Emergency Medicine 5092980938 Reassigns benefits to 3 organizations
I20190823002282 DC Practitioner - Emergency Medicine 5092980938 Reassigns benefits to 2 organizations
I20200320000388 IN Practitioner - Emergency Medicine 5092980938 Reassigns benefits to 1 organization
I20220426000574 NM Practitioner - Emergency Medicine 5092980938 Reassigns benefits to 3 organizations
I20221118001807 PA Practitioner - Emergency Medicine 5092980938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Emergency Physicians Associates, Inc.Group PAC ID 3577462571, 8 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670
Phone (724) 284-4550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.128889ILMDEmergency Medicine Physician
321104LAMDEmergency Medicine Physician
60129-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Altru Health System CurrentSince Sep 13, 2017 Accepting new patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Mar 1, 2020 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Mar 22, 2022 Accepting new patients
Altru Health System CurrentSince Sep 13, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Mar 22, 2022 Accepting new patients
WHC Emerg Phys CurrentSince Jul 21, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince May 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
WHC Physician Group LLC CurrentSince Jul 21, 2019 Accepting new patients
Butler Emergency Physicians Associates, Inc. Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Las Cruces HB Medical Services LLC Emergency Medicine CurrentSince Apr 8, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Feb 11, 2013 Accepting new patients
Mercy Health System Corporation CurrentSince Feb 11, 2013 Accepting new patients
WHC Physician Group LLC Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince May 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 1, 2020 Accepting new patients
West Baltimore Emergency Medicine Physicians, LLC Emergency Medicine Past Accepting new patients

Locations (25 of 30)

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

1 Hospital Way
#D
Butler, PA 16001
Phone (724) 284-4550

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

Interoperability endpoints

  • Direct secure messaging: geethap.krishnan@xdr.hhchealthdirect.org
  • Direct secure messaging: gkrishnan181270@direct-guthrie.org
  • Direct secure messaging: kgeetha180717@direct.phs.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1699067132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2950 STATE ROAD 67",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531472655",
            "telephone_number": "262-245-0535",
            "fax_number": "262-245-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2950 STATE ROAD 67",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531472655",
            "telephone_number": "262-245-0535",
            "fax_number": "262-245-2248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Washington St",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602740",
            "country_code": "US",
            "telephone_number": "860-889-8331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "GEETHA",
        "middle_name": "PRIYDARSHINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "62300",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "60129-20",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.128889",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "321104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036128889 2",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "KRISHGEE",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699067132",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSWI",
            "identifier": "1699067132",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

Verify at the official NPI Registry.