Active NPI
Ananthan Krishnathas, MD
- Internal Medicine Physician
- South Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21702
- Practice address
- 4605 Maccorkle Ave. SW
South Charleston, WV 25309 - Phone
- (304) 766-3526
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21702 | WV | Primary |
Addresses
Primary practice location
4605 Maccorkle Ave. SW
South Charleston, WV 25309
Mailing address
4605 Maccorkle Ave. SW
South Charleston, WV 25309
Phone (304) 766-3526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810000987 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041108000770 | WV | Practitioner - Hospitalist | 6709849086 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- THS Physician Partners Inc
Practice addresses (Care Compare)
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800
Hospital & facility affiliations
- Thomas Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21702 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of West Virginia-Wheeling, PLLC | Internal Medicine | Current | Accepting new patients |
| THS Physician Partners Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of West Virginia- TCG PLLC | Internal Medicine | Current | Accepting new patients |
| Herbert J. Thomas Memorial Hospital Association | Past | Accepting new patients |
Locations
L3539
Columbus, OH 43260
Phone (304) 414-4800
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
Internal Medicine, WV
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1386122844
Internal Medicine, WV
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1649575101
WV
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1568940187
Internal Medicine
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1891786554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 MACCORKLE AVE. SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "25309",
"telephone_number": "304-766-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 MACCORKLE AVE. SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "25309",
"telephone_number": "304-766-3526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNATHAS",
"first_name": "ANANTHAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "21702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810000987",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.