Individual provider Active NPI

Raghavachari Sunder Krishnan, M.D.

  • Surgery Physician
  • Clanton, AL
National Provider Identifier
1831129071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00018919 Issued in AL
Practice address
150 Health Center Dr
Clanton, AL 35045-2368
Phone
(205) 280-7700
Fax
(205) 280-7088
NPI assigned
Jul 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00018919 AL Primary

Addresses

Primary practice location

150 Health Center Dr
Clanton, AL 35045-2368

Mailing address

PO Box 1604
Pelham, AL 35124-5604
Phone (205) 280-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20040312000505 AL Practitioner - General Surgery 4284523754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Health Ctr Dr
Clanton, AL 35045-2368
Phone (205) 280-7700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18919ALMDPharmacist
00018919ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chilton Shelby Sugery, LLC Surgery CurrentSince Jan 12, 2004 Accepting new patients

Locations

150 Health Center Dr
Clanton, AL 35045
Phone (205) 280-7700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2003/brand/1/csg/1/fhir/r4
  • Direct secure messaging: raghavachari.krishnan.1@2003.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831129071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351245604",
            "telephone_number": "205-280-7700",
            "fax_number": "205-280-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HEALTH CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452368",
            "telephone_number": "205-280-7700",
            "fax_number": "205-280-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "RAGHAVACHARI",
        "middle_name": "SUNDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00018919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

Verify at the official NPI Registry.