Individual provider Active NPI

Balaji Krishnaiah, M. D.,

  • Neurology Physician
  • Memphis, TN
National Provider Identifier
1770825283
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
57144 Issued in TN
Practice address
1325 Eastmoreland Ave Ste 101
Memphis, TN 38104-3507
Phone
(901) 758-7888
Fax
(901) 758-7888
NPI assigned
Mar 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 57144 TN Primary

Addresses

Primary practice location

1325 Eastmoreland Ave Ste 101
Memphis, TN 38104-3507

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other identifiers 2

IdentifierTypeStateIssuer
1770825283MedicaidMO
Q036065MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180723001262 TN Practitioner - Neurology 1658652656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Pennsylvania State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Medical Group IncGroup PAC ID 3173435369, 98 clinicians
Ut Methodist Physicians LLCGroup PAC ID 2769623669, 123 clinicians

Practice addresses (Care Compare)

1301 Primacy Pkwy
Memphis, TN 38119-0213
Phone (901) 448-0275

1325 Eastmoreland Ave
Suite 370
Memphis, TN 38104-7542
Phone (901) 758-7888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
59.97
Promoting interoperability
100
Improvement activities
40
Cost
80.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group Inc Neurology CurrentSince Jul 1, 2018 Accepting new patients
Ut Medical Group, Inc. CurrentSince Jul 1, 2018 Accepting new patients

Locations

1331 Union Ave
Ste 1145
Memphis, TN 38104
Phone (901) 448-7674

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

1301 Primacy Pkwy
Memphis, TN 38119
Phone (901) 448-0230

1325 Eastmoreland Ave
Ste 101
Memphis, TN 38104
Phone (901) 261-3500

1265 Union Ave
#1
Memphis, TN 38104
Phone (901) 516-8279

1407 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 866-8360

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024

Interoperability endpoints

  • Direct secure messaging: bkrishnaiah23426@mlh.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1770825283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043507",
            "telephone_number": "901-758-7888",
            "fax_number": "901-758-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAIAH",
        "first_name": "BALAJI",
        "name_prefix": "Dr.",
        "credential": "M. D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "57144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770825283",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036065",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.