Individual provider Active NPI

Krishna Vanam, DO

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1841636305
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102206643 Issued in VA
Practice address
5700 Fitzhugh Ave
Richmond, VA 23226-1800
Phone
(908) 279-5086
NPI assigned
May 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102206643 VA Primary

Addresses

Primary practice location

5700 Fitzhugh Ave
Richmond, VA 23226-1800

Mailing address

12342 Smith Grove CT
Glen Allen, VA 23059-7176
Phone (908) 279-5086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210810002708 VA Practitioner - Internal Medicine 4789993296 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102206643VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kurated Health PLLC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
KRV Medical Services LLC Internal Medicine CurrentSince Nov 8, 2022 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients

Locations

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

95 Medical Park Blvd
Petersburg, VA 23805
Phone (336) 816-2589

5700 Fitzhugh Ave
Richmond, VA 23226
Phone (804) 288-5700

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1841636305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12342 SMITH GROVE CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597176",
            "telephone_number": "908-279-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 FITZHUGH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261800",
            "telephone_number": "908-279-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANAM",
        "first_name": "KRISHNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102206643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.