Individual provider Active NPI

Krishna Subhash Vyas, M.D., PH.D., M.H.S.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1801250493
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
316587 Issued in NY
Practice address
800A 5TH Ave Ste 300a
New York, NY 10065-7215
Phone
(212) 427-3982
Fax
(604) 282-3037
NPI assigned
Apr 8, 2016
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 316587 NY Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 1014963 MA

Addresses

Primary practice location

800A 5TH Ave Ste 300a
New York, NY 10065-7215

Mailing address

800A 5TH Ave Ste 300a
New York, NY 10065-7215
Phone (212) 427-3982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713002507 MA Practitioner - Plastic and Reconstructive Surgery 6204120975 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
316587NYMDLicensed Practical Nurse
1014963MAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc CurrentSince Jul 1, 2023 Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2023 Accepting new patients
Keith M. Blechman, M.D., P.C. Plastic Surgery Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

Interoperability endpoints

  • Direct secure messaging: kvyas68142@northwell.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1801250493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800A 5TH AVE STE 300A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657215",
            "telephone_number": "212-427-3982",
            "fax_number": "604-282-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800A 5TH AVE STE 300A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657215",
            "telephone_number": "212-427-3982",
            "fax_number": "604-282-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "KRISHNA",
        "middle_name": "SUBHASH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D., M.H.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "316587",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "1014963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.