NPIMap

Organization Active NPI

KRS Medical Services, PLLC

  • Endoscopy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1912334103
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
189588 Issued in NY
Legal business name
KRS MEDICAL SERVICES, PLLC
Practice address
322 Linden Blvd
Brooklyn, NY 11226-3579
Phone
(718) 237-1596
Fax
(718) 222-1650
NPI assigned
Oct 2, 2013
Last updated
Oct 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Dr. Purna Chandra Prasad Atluri, M.D.
Title
Owner
Phone
(718) 237-1596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 189588 NY Primary

Addresses

Primary practice location

322 Linden Blvd
Brooklyn, NY 11226-3579

Mailing address

PO Box 180
Albertson, NY 11507-0180
Phone (718) 237-1596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191004002712 NY Part B Supplier - Clinic/Group Practice 9537490545 Receives reassigned benefits from 10 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1912334103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115070180",
            "telephone_number": "718-237-1596",
            "fax_number": "718-222-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263579",
            "telephone_number": "718-237-1596",
            "fax_number": "718-222-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRS MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "ATLURI",
        "authorized_official_first_name": "PURNA",
        "authorized_official_middle_name": "CHANDRA PRASAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-237-1596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "189588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.