NPIMap

Individual provider Active NPI

Bal Krishna Srivastava, MD

  • Cardiovascular Disease Physician
  • Dayton, OH
National Provider Identifier
1871592345
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35072432 Issued in OH
Practice address
61 Darst Rd
Dayton, OH 45440-3407
Phone
(937) 424-3589
NPI assigned
Jul 18, 2005
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35072432 OH Primary

Addresses

Primary practice location

61 Darst Rd
Dayton, OH 45440-3407

Mailing address

61 Darst Rd
Dayton, OH 45440-3407
Phone (937) 424-3589

Other practice location 1

8701 Old Troy Pike Ste 40A
Huber Heights, OH 45424-1066
Phone (937) 424-3589

Other identifiers 2

IdentifierTypeStateIssuer
2226157MedicaidOH
000000202320OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526001537 OH Practitioner - Cardiovascular Disease (Cardiology) 3476534397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sinnathamby Cardiology Services, Inc.Group PAC ID 8123118320, 6 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

61 Darst Rd
Dayton, OH 45440-3407
Phone (937) 424-3589

68 Darst Rd
Beavercreek, OH 45440-3442
Phone (937) 558-3021

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072432OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinnathamby Cardiology Services, Inc. Cardiovascular Disease CurrentSince Jun 11, 2017 Accepting new patients
Miami Valley Cardiologists Inc. Cardiovascular Disease Past Accepting new patients
Diagnostic Cardiologists Inc. Cardiovascular Disease Past Accepting new patients
Tri State Diagnostic Services , Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5538 Philadelphia Dr
Ste B
Dayton, OH 45415

61 Darst Rd
Dayton, OH 45440
Phone (937) 424-3589

8701 Troy Pike
Ste 40A
Huber Heights, OH 45424
Phone (937) 233-5084

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1871592345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DARST RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403407",
            "telephone_number": "937-424-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DARST RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403407",
            "telephone_number": "937-424-3589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 Old Troy Pike Ste 40A",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454241066",
            "country_code": "US",
            "telephone_number": "937-424-3589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "BAL",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35072432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2226157",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000202320",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.