Individual provider Active NPI

Veena Krishnan, MD

  • Nephrology Physician
  • Bridgeton, MO
National Provider Identifier
1871567586
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2004007951 Issued in MO
Practice address
12255 De Paul Dr Ste 845
Bridgeton, MO 63044-2559
Phone
(314) 736-4800
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2004007951 MO
Internal Medicine Physician 207R00000X 2004007951 MO
Hospitalist Physician 208M00000X 2004007951 MO
Nephrology Physician 207RN0300X 2004007951 MO Primary

Addresses

Primary practice location

12255 De Paul Dr Ste 845
Bridgeton, MO 63044-2559

Mailing address

PO Box 3950
Chesterfield, MO 63006-3950
Phone (314) 799-7826

Other identifiers 1

IdentifierTypeStateIssuer
P00330233OtherRAILROAD MEDICARE

Other names 1

  • Veena Krishnan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20041203000274 MO Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Nephrology 3476519273 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Nephrology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12255 Depaul Dr
Suite 845
Bridgeton, MO 63044-2559
Phone (314) 736-4800

Hospital & facility affiliations

  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Petre I Anguelinin, LLC Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
SSM Health Care St Louis CurrentSince Jul 6, 2019 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC Internal Medicine Past Accepting new patients
Renal Alliance, LLC Nephrology Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

10010 Kennerly Rd
#3
Saint Louis, MO 63128
Phone (314) 525-1328

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

Organizations & group practices 6

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 3

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1871567586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3950",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630063950",
            "telephone_number": "314-799-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR STE 845",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442559",
            "telephone_number": "314-736-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "VEENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2004007951",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004007951",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2004007951",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2004007951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00330233",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VEENA",
            "last_name": "KRISHNAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.