Individual provider Active NPI

Krishna Sury, M.D.

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1780020073
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
299093 Issued in NY
Practice address
577 Prospect Ave Apt 1B
Brooklyn, NY 11215-6074
Phone
(718) 369-0318
NPI assigned
May 14, 2013
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 299093 NY Primary

Addresses

Primary practice location

577 Prospect Ave Apt 1B
Brooklyn, NY 11215-6074

Mailing address

577 Prospect Ave Apt 1B
Brooklyn, NY 11215-6074
Phone (718) 369-0318

Other identifiers 1

IdentifierTypeStateIssuer
1780020073MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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
I20180601000422 CT Practitioner - NephrologyPractitioner - Internal Medicine 6002123486 Reassigns benefits to 2 organizations
I20191029002100 NY Practitioner - NephrologyPractitioner - Internal Medicine 6002123486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Kidney and Hypertension Specialists, LLCGroup PAC ID 7315090735, 6 clinicians

Practice addresses (Care Compare)

140 Grandview Ave
Suite 101
Waterbury, CT 06708-2518
Phone (203) 597-9733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
299093NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Single Specialty CurrentSince Jul 1, 2018 Accepting new patients
Yale University CurrentSince Jul 1, 2018 Accepting new patients
Kidney Care of Brooklyn and Queens, PLLC Single Specialty CurrentSince Sep 15, 2019 Accepting new patients
Connecticut Kidney & Hypertension Specialists, LLC Single Specialty CurrentSince Sep 1, 2020 Accepting new patients

Locations

330 Cedar St
New Haven, CT 06510
Phone (203) 785-2385

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

140 Grandview Ave
Ste 101
Waterbury, CT 06708
Phone (203) 573-7284

1402 Atlantic Ave
Brooklyn, NY 11216
Phone (718) 771-6961

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

Interoperability endpoints

  • Direct secure messaging: krishna.sury@xdr.hhchealthdirect.org

Organizations & group practices 4

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 5

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1780020073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 PROSPECT AVE APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156074",
            "telephone_number": "718-369-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 PROSPECT AVE APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156074",
            "telephone_number": "718-369-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURY",
        "first_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "299093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780020073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.