Individual provider Active NPI

Bhanumathi Krishnan, MD

  • Cardiovascular Disease Physician
  • Fairfax, VA
National Provider Identifier
1730281395
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101266170 Issued in VA
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00V373C96OtherMEDICARE OF VA
280446OtherMAMSI
216678OtherANTHEM
216677OtherANTHEM HEALTHKEEPERS PLUS
280446OtherMDIPA
4417390OtherAETNA HMO
541977219OtherTRICARE
5844428MedicaidVA
280446OtherOPTIMUM CHOICE
4417390OtherAETNA PPO
0008OtherCAREFIRST
541977219OtherCIGNA
P00025883OtherRAILROAD MEDICARE
060059731OtherRAILROAD MEDICARE
280446OtherALLIANCE GEHA
541977219OtherNALC AFFORDABLE
541977219OtherUNITED HEALTHCARE
541977219OtherWPS TRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20040414001262 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850385402 Reassigns benefits to 3 organizations
I20110407000473 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850385402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

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

LicenseStateTypeSpecialty
J3524TXMDCardiovascular Disease Physician
0101266170VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Cardiovascular Disease CurrentSince Feb 8, 2014 Accepting new patients
Reston Hospital Center, LLC CurrentSince May 31, 2018 Accepting new patients
Reston Hospital Center, LLC CurrentSince May 31, 2018 Accepting new patients
Inova Health Care Services CurrentSince Jun 20, 2015 Accepting new patients
Inova Health Care Services CurrentSince Feb 1, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 8, 2014 Accepting new patients
Inova Health Care Services CurrentSince Feb 1, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.