Active NPI
Krishnapriya Marangattu Prathapan, M.D.
- Pediatric Gastroenterology Physician
- Phoenix, AZ
National Provider Identifier
1730590506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 59952
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5011
- NPI assigned
- May 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 59952 | AZ | Primary |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5560
Other practice location 1
1 Childrens Hospital Dr
Pittsburgh, PA 15224-1529
Phone (412) 692-5412
Other practice location 2
3141 N 3rd Ave Ste 100
Phoenix, AZ 85013-4351
Phone (602) 914-1520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59952 | AZ | MD | Pediatric Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1730590506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168034",
"telephone_number": "602-470-5560",
"fax_number": "602-470-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-5011"
}
],
"practiceLocations": [
{
"address_1": "1 Childrens Hospital Dr",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152241529",
"country_code": "US",
"telephone_number": "412-692-5412",
"fax_number": "412-692-8906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3141 N 3rd Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850134351",
"country_code": "US",
"telephone_number": "602-914-1520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRATHAPAN",
"first_name": "KRISHNAPRIYA",
"middle_name": "MARANGATTU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "AZ",
"license": "59952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Jan Prasad, MD
- Varsha Prasad
- Vikram Prasad, M.D.
- Priya Prasher, M.D.
- John Forrest Prater, D.O.
- Prats Care Home L.L.C.
- Prats Residential Behavioral Health Agency II
- Prats Residential Behavioral Health Agency III
- Prats Residential Behavioral Health Agency IV
- Prats Residential Behavioral Health Agency LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.