Gayathri Krishna Kumar, MD
Individual provider Active NPI Family Medicine Physician · Medfield, MA
NPI 1790795441 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1790795441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 294067 (MA)
- Practice address
- 50 North St
Medfield, MA 02052-1654 - Phone
- (508) 359-1519
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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 Corporation
Practice addresses (Care Compare)
464 Hillside Ave
Suite 302
Needham, MA 02494-1228
Phone (781) 449-5170
Hospital & facility affiliations
- Caretenders
- Preferred Transitions Home Health Care Inc
- Beth Israel Deaconess Hospital - Needham
- Beth Israel Deaconess Medical Center
- Brigham and Women'S Hospital
- Milford Regional Medical Center
- Metrowest Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170905002150 | GA | Practitioner - Family Practice | 4688712730 | Reassigns benefits to 2 organizations |
| I20230309000807 | MA | Practitioner - Family Practice | 4688712730 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Medical Center, LLC | Current |
Accepting new patients | |
| Lifeline Medical Center, LLC | Current |
Accepting new patients | |
| Lifeline Primary Care, Inc | Current |
Accepting new patients | |
| Lifeline Primary Care, Inc | Family Medicine | Current |
Accepting new patients |
| Medical Care of Boston Management Corporation | Current |
Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past |
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
Ste H
Peachtree Corners, GA 30092
Phone (678) 580-0950
3330 Peachtree Corners Cir
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
- gkrishnakumar447853@direct.bilh.masshiway.net
- https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28701 | SC | |
| Family Medicine Physician | 207Q00000X | 2014-01777 | NC | |
| Family Medicine Physician | 207Q00000X | 294067 | MA | Yes |
Addresses
Primary practice location
50 North St
Medfield, MA 02052-1654
Mailing address
50 North St
Medfield, MA 02052-1654
Phone (508) 359-1519
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110185760A | Medicaid | MA |
Other providers in Medfield, MA
- Benjamin Warren Kerivan
- Linda G. Kipper
- Russell Kling
- Lisa Klinger
- Christine Marie Kraus
- Susan M Kwaiter-Sadler
- Ellen Cy Kwan
- Erna Larson
- Katie Lavin
- Wendy Leeds
All providers in Medfield, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.