NPIMap

Individual provider Active NPI

Gayathri Krishna Kumar, MD

  • Family Medicine Physician
  • Medfield, MA
National Provider Identifier
1790795441
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
294067 Issued in MA
Practice address
50 North St
Medfield, MA 02052-1654
Phone
(508) 359-1519
NPI assigned
Aug 8, 2006
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28701 SC
Family Medicine Physician 207Q00000X 2014-01777 NC
Family Medicine Physician 207Q00000X 294067 MA Primary

Addresses

Primary practice location

50 North St
Medfield, MA 02052-1654

Mailing address

50 North St
Medfield, MA 02052-1654
Phone (508) 359-1519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170905002150 GA Practitioner - Family Practice 4688712730 Reassigns benefits to 2 organizations
I20230309000807 MA Practitioner - Family Practice 4688712730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

464 Hillside Ave
Suite 302
Needham, MA 02494-1228
Phone (781) 449-5170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294067MAMDFamily Medicine Physician
28701SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Center, LLC CurrentSince Aug 6, 2017 Accepting new patients
Lifeline Primary Care, Inc Family Medicine CurrentSince Aug 6, 2017 Accepting new patients
Lifeline Medical Center, LLC CurrentSince Aug 6, 2017 Accepting new patients
Medical Care of Boston Management Corporation CurrentSince Apr 1, 2023 Accepting new patients
Lifeline Primary Care, Inc CurrentSince Aug 6, 2017 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc PastSince Apr 30, 2023 Accepting new patients

Locations

3660 Market St
Clarkston, GA 30021
Phone (404) 298-9005

4025 Lawrenceville Hwy NW
Ste A
Lilburn, GA 30047
Phone (770) 559-3501

3330 Peachtree Corners Cir
Peachtree Corners, GA 30092
Phone (678) 580-0950

3330 Peachtree Corners Cir
Ste H
Peachtree Corners, GA 30092
Phone (678) 580-0950

50 North St
Medfield, MA 02052
Phone (508) 359-1519

464 Hillside Ave
Ste 302
Needham, MA 02494
Phone (781) 444-1129

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: gkrishnakumar447853@direct.bilh.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1790795441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NORTH ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521654",
            "telephone_number": "508-359-1519",
            "fax_number": "508-359-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORTH ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521654",
            "telephone_number": "508-359-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNA KUMAR",
        "first_name": "GAYATHRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "28701",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014-01777",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "294067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medfield, MA

Sources for this page

Verify at the official NPI Registry.