Individual provider Active NPI

Chandrashekar Krishnaswamy, MD

  • Neurology Physician
  • Hazard, KY
National Provider Identifier
1861500985
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
37430 Issued in KY
Practice address
200 Medical Center Dr
Suite 3P
Hazard, KY 41701-9478
Phone
(606) 487-7955
Fax
(606) 487-0443
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 37430 KY Primary

Addresses

Primary practice location

200 Medical Center Dr
Suite 3P
Hazard, KY 41701-9478

Mailing address

PO Box 120
Hazard, KY 41702-0120
Phone (606) 487-7955

Other identifiers 4

IdentifierTypeStateIssuer
000000373082OtherKYANTHEM BLUE CROSS
DD8578OtherKYPALMETTO GBA GROUP
64054380MedicaidKY
P00256187OtherKYPALMETTO GBA INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040916001018 KY Practitioner - Neurology 7517934698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600

102 Medical Ctr Dr
Suite 101
Hazard, KY 41701-9421
Phone (606) 435-7200

110 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 487-7902

181 Roy Campbell Dr
Hazard, KY 41701-9407
Phone (606) 439-1316

200 Medical Ctr Dr
Hazard, KY 41701-9466
Phone (606) 487-7510

200 Medical Ctr Dr
Hazard, KY 41701-9477

Hospital & facility affiliations

  • Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37430KYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2014 Accepting new patients

Locations

18880 N US Highway 119
Cumberland, KY 40823
Phone (606) 589-0130

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

200 Medical Dr
Ste 3P
Hazard, KY 41701
Phone (606) 439-3334

2662 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 358-4211

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

Interoperability endpoints

  • Direct secure messaging: chandrashekarkrishnaswamy@arh.medalliesdirect.net

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.

Hospital & facility affiliations 2

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1861500985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417020120",
            "telephone_number": "606-487-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 3P",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019478",
            "telephone_number": "606-487-7955",
            "fax_number": "606-487-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNASWAMY",
        "first_name": "CHANDRASHEKAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "37430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000373082",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA GROUP",
            "identifier": "DD8578",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64054380",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA INDIVIDUAL",
            "identifier": "P00256187",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.