Individual provider Active NPI

Shreyas Govindaranga Krishnapura

  • Student in an Organized Health Care Education/Training Program
  • Cincinnati, OH
National Provider Identifier
1912682345
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
231 Albert Sabin Way RM 6504
Cincinnati, OH 45267-2533
Phone
(513) 558-4152
NPI assigned
Jun 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

231 Albert Sabin Way RM 6504
Cincinnati, OH 45267-2533

Mailing address

3000 Vanderbilt PL Apt 208
Nashville, TN 37212-2533
Phone (770) 568-8726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240509003476 OH Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 6800237751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1912682345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 VANDERBILT PL APT 208",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122533",
            "telephone_number": "770-568-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 ALBERT SABIN WAY RM 6504",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452672533",
            "telephone_number": "513-558-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAPURA",
        "first_name": "SHREYAS",
        "middle_name": "GOVINDARANGA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.