Shiva S Krishna, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

00025205 Issued in AL

Practice address

1201 8TH St SE
Decatur, AL 35601-3356

Phone

(256) 560-0646

Fax

(256) 560-0649

NPI assigned

Feb 5, 2006

Last updated

Apr 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alabama Allergy & Asthma Care LLC

  • Allergy & Immunology Physician
  • Madison, AL
  • NPI 1346695541
  NPD Authorized official
• Alabama Allergy & Asthma Care, LLC

  • Allergy & Immunology Physician
  • Madison, AL
  • NPI 1437316056
  Authorized official Same address or phone
• Valley Pharmacy LLC

  • Community/Retail Pharmacy
  • Decatur, AL
  • NPI 1982377362
  NPD (past)
• Mohan J Durve, MD Inc

  • Specialist
  • Parma, OH
  • NPI 1124225040
  NPD (past)

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

{
    "created_epoch": "1139097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1952373805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WESTOVER CIR STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584910",
            "telephone_number": "256-890-0331",
            "fax_number": "256-325-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 8TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013356",
            "telephone_number": "256-560-0646",
            "fax_number": "256-560-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNA",
        "first_name": "SHIVA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-05",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00025205",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AL",
            "license": "25205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182367",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL. STATE LICENSE #",
            "identifier": "00025205",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221879",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances J Knop, RN
• Emilee Koehoorn
• Kayleigh Koehoorn
• Bernard J Krenner, DC
• Kayla Michelle Kretzer, CRNP
• Nicholas Krishnan
• Kristin Wakefield Counseling, LLC
• Emily Kroeger, MA
• Kroger Limited Partnership I (Kroger Pharmacy)
• Jessica Behrens Kuykendall, RN, MSN, WHNP

• Specialist in Decatur, AL
• Providers in Decatur, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.