NPIMap

Individual provider Active NPI

Balasubramanyam Krishniah, M.D.

  • Internal Medicine Physician
  • Mauldin, SC
National Provider Identifier
1891724951
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19652 Issued in SC
Practice address
300 W Butler Rd
Mauldin, SC 29662-2538
Phone
(864) 277-8300
Fax
(864) 288-8722
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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 19652 SC Primary

Addresses

Primary practice location

300 W Butler Rd
Mauldin, SC 29662-2538

Mailing address

300 W Butler Rd
Mauldin, SC 29662-2538
Phone (864) 277-8300

Other identifiers 1

IdentifierTypeStateIssuer
196521MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20031203000569 SC Practitioner - Internal Medicine 1254236276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palmetto Internal Medicine and Primary Care, PAGroup PAC ID 7719168723, 6 clinicians

Practice addresses (Care Compare)

300 W Butler Rd
Mauldin, SC 29662-2585
Phone (864) 277-8300

Hospital & facility affiliations

  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Internal Medicine & Primary Care, PA Internal Medicine CurrentSince Aug 16, 2010 Accepting new patients
Mauldin Medical Associates, PA Past Accepting new patients
South Carolina Em-I Medical Services PC Past Accepting new patients

Locations

300 W Butler Rd
Mauldin, SC 29662
Phone (864) 277-8300

Interoperability endpoints

  • Direct secure messaging: bkrishniah50153@direct.ghs.myhfn.org

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 50

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1891724951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BUTLER RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622538",
            "telephone_number": "864-277-8300",
            "fax_number": "864-288-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BUTLER RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622538",
            "telephone_number": "864-277-8300",
            "fax_number": "864-288-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNIAH",
        "first_name": "BALASUBRAMANYAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "19652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196521",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

Verify at the official NPI Registry.