Active NPI
Bhanumathi Krishnan, MD
- Cardiovascular Disease Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101266170
- Practice address
- 3023 Hamaker CT
Suite 100
Fairfax, VA 22031-2222 - Phone
- (703) 641-9161
- Fax
- (703) 645-0493
- NPI assigned
- Sep 3, 2006
- Last updated
- Dec 15, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101266170 | VA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | J3524 | TX |
Addresses
Primary practice location
3023 Hamaker CT
Suite 100
Fairfax, VA 22031-2222
Mailing address
3023 Hamaker CT
Suite 100
Fairfax, VA 22031-2222
Phone (703) 641-9161
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00V373C96 | Other | MEDICARE OF VA | |
| 280446 | Other | MAMSI | |
| 216678 | Other | ANTHEM | |
| 216677 | Other | ANTHEM HEALTHKEEPERS PLUS | |
| 280446 | Other | MDIPA | |
| 4417390 | Other | AETNA HMO | |
| 541977219 | Other | TRICARE | |
| 5844428 | Medicaid | VA | |
| 280446 | Other | OPTIMUM CHOICE | |
| 4417390 | Other | AETNA PPO | |
| 0008 | Other | CAREFIRST | |
| 541977219 | Other | CIGNA | |
| P00025883 | Other | RAILROAD MEDICARE | |
| 060059731 | Other | RAILROAD MEDICARE | |
| 280446 | Other | ALLIANCE GEHA | |
| 541977219 | Other | NALC AFFORDABLE | |
| 541977219 | Other | UNITED HEALTHCARE | |
| 541977219 | Other | WPS TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1830 Town Ctr Dr
Reston, VA 20190-3292
Phone (703) 481-3165
1850 Town Ctr Pkwy
Reston, VA 20190-3219
Phone (703) 689-9000
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 698-2740
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
44084 Riverside Pkwy
Suite 150
Lansdowne, VA 20176-5158
Phone (703) 858-3185
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J3524 | TX | MD | Cardiovascular Disease Physician |
| 0101266170 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Reston Hospital Center, LLC | Current | Accepting new patients | |
| Reston Hospital Center, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Medical Associates of Central Virginia, Inc. | Past | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
20905 Professional Plz
Ste 110
Ashburn, VA 20147
Phone (703) 726-0003
20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003
3023 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 641-9161
8316 Arlington Blvd
Ste 500
Fairfax, VA 22031
Phone (703) 641-9161
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44055 Riverside Pkwy
Ste 244
Leesburg, VA 20176
Phone (703) 858-3180
44084 Riverside Pkwy
Ste 150
Leesburg, VA 20176
Phone (571) 472-3270
8644 Sudley Rd
#220
Manassas, VA 20110
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
1945 Old Gallows Rd
Ste 405
Vienna, VA 22182
Interoperability endpoints
- bhanumathi.krishnan.1@8042.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
Cardiovascular Disease, DC
-
dba Reston Hospital Center
- Radiologic Technologist
- Reston, VA
- NPI 1548617863
DC
-
dba Inova Comprehensive Addiction Treatment (CATS)
- Substance Abuse Rehabilitation Facility
- Falls Church, VA
- NPI 1588717755
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
dba Reston Hospital Center
- Rehabilitation Hospital Unit
- Reston, VA
- NPI 1538650999
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Internal Medicine Physician
- Lynchburg, VA
- NPI 1912970260
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
dba Reston Hospital Center
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1730281395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 HAMAKER CT",
"address_2": "SUITE 100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312222",
"telephone_number": "703-641-9161",
"fax_number": "703-645-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 HAMAKER CT",
"address_2": "SUITE 100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312222",
"telephone_number": "703-641-9161",
"fax_number": "703-645-0493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNAN",
"first_name": "BHANUMATHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-03",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101266170",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "J3524",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OF VA",
"identifier": "00V373C96",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "280446",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "216678",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEPERS PLUS",
"identifier": "216677",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "280446",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "4417390",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "541977219",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5844428",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "280446",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4417390",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "0008",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "541977219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00025883",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060059731",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE GEHA",
"identifier": "280446",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NALC AFFORDABLE",
"identifier": "541977219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "541977219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "541977219",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.