Individual provider Active NPI

Krishna R Kylasa, MD

  • Diagnostic Radiology Physician
  • Bakersfield, CA
National Provider Identifier
1881686707
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A88957 Issued in CA
Practice address
9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone
(661) 633-5000
Fax
(661) 633-2500
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

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
Diagnostic Radiology Physician 2085R0202X A88957 CA Primary

Addresses

Primary practice location

9602 Stockdale Hwy
Bakersfield, CA 93311-3618

Mailing address

PO Box 2447
Bakersfield, CA 93303-2447
Phone (661) 633-5000

Other identifiers 1

IdentifierTypeStateIssuer
00A889570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050127000922 CA Practitioner - Diagnostic Radiology 7911957873 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians

Practice addresses (Care Compare)

1100 Magellan Dr
Tehachapi, CA 93561-1380
Phone (661) 823-3000

2615 Chester Ave
Bakersfield, CA 93301-2014

2701 Chester Ave
Bakersfield, CA 93301-2016

9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (661) 395-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.87
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.35 of 100Reported as group
Quality
53.28
Promoting interoperability
98
Improvement activities
40
Cost
63.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88957CAMDPharmacist
A88957CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Medical Center Tehachapi Current Accepting new patients
San Joaquin Community Hospital CurrentSince Mar 27, 2011 Accepting new patients
Adventist Health Delano CurrentSince Jan 1, 2020 Accepting new patients
San Joaquin Community Hospital CurrentSince Jan 1, 2020 Accepting new patients
San Joaquin Community Hospital CurrentSince Mar 27, 2011 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Feb 27, 2019 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 20, 2026 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 20, 2026 Accepting new patients
Adventist Health Physicians Network Past Accepting new patients
Adventist Health Physicians Network Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

105 W E St
Tehachapi, CA 93561
Phone (661) 823-7070

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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 7

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881686707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2447",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933032447",
            "telephone_number": "661-633-5000",
            "fax_number": "661-633-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113618",
            "telephone_number": "661-633-5000",
            "fax_number": "661-633-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLASA",
        "first_name": "KRISHNA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A88957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A889570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.