Krishna Priya Kalyam, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2016011405 Issued in MO

Practice address

4901 Forest Park Ave FL 6
6TH FL
Saint Louis, MO 63108-1402

Phone

(314) 362-3937

Fax

(314) 362-3725

NPI assigned

Jun 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

OphthalmologyAlso: Plastic and Reconstructive Surgery

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krishna.kalyam.1@20705.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20705/brand/1/csg/1/fhir/r4

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.

• Legacy Eyelids & Cosmetic Surgery

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Murphy, TX
  • NPI 1801439484
  Medicare reassignment NPD Authorized official
• Rheumcare LLC

  • Rheumatology Physician
  • McKinney, TX
  • NPI 1821985524
  NPD

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1811259179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8096",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-3937",
            "fax_number": "314-362-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 FOREST PARK AVE FL 6",
            "address_2": "6TH FL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081402",
            "telephone_number": "314-362-3937",
            "fax_number": "314-362-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALYAM",
        "first_name": "KRISHNA",
        "middle_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2016011405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811259179",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Kaltenrieder
• Sarita Kalu, LMT
• Gowri Kalugotla, MD, PHD
• Saulius Kalvaitis, MD
• Lalit Chandra Kalvala, MD
• Kathleen Kalz Meyer, NP
• Nicholas P Kamakas, D.D.S.
• Mudasir Kamal, MD
• Syeda Ashna Fatima Kamal, MD
• Sanjeev Kamat, MD

• Ophthalmology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.