DR. KUMAR KRISHNAN (NPI# 1609085240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609085240 |
| Entity Type | Individual |
| Full Name | DR. KUMAR KRISHNAN |
| Credential | MD |
| Practice Address |
55 Fruit St # Street4 Boston MA 02114-2621 |
| Practice Telephone | 6177240578 |
| Practice Fax Number | 6177245997 |
| Mailing Telephone | 6177240578 |
| Mailing Fax Number | 6177245997 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036121716 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
272242 | MA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Q0093 | TX | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036121716 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INSTITUTIONAL PERMIT | BP1-0026146 | 01 | |
| TX | 340122602 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8EQ228 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 8FX432 | 01 |
| TX | 340122601 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6550 Fannin St, Suite 1201, Houston, TX 770302717 | 7134413372 | 7137970622 |
| Street Address |
55 FRUIT ST # STREET4 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366849 | Halpert Medical LLC | Internal Medicine | 27 Pier 7, Boston, MA 02129-4226 | 2019-10-03 |
| 1861913881 | Aymeric Becq | Internal Medicine | 330 Brookline Avenue, Dana 603, Boston, MA 02215 | 2017-06-29 |
| 1386019503 | Boston Food Allergy Center LLC | Internal Medicine | 65 Harrison Ave Ste 201, Boston, MA 02111-1924 | 2015-12-14 |
| 1477996650 | William Thomas Clarke | Internal Medicine | 330 Brookline Ave # Rabb400, Boston, MA 02215-5400 | 2013-04-08 |
| 1487908141 | Jose Manuel Mella | Internal Medicine | 330 Brookline Ave Da 501, East Campus, Beth Israel Deaconess Medical Center, Boston, MA 02215-5403 | 2012-11-02 |
| 1003169327 | Rong J Guan, Md LLC | Internal Medicine | 30 Kneeland St Fl 5, Boston, MA 02111-1528 | 2012-10-24 |
| 1043479587 | Vilas R Patwardhan | Internal Medicine | 110 Francis St, Suite 8e, Beth Israel Deaconess Medical Center, Boston, MA 02215 | 2008-06-09 |
| 1639378789 | Alan Colm Moss | Internal Medicine | 725 Albany St Ste 6b, Boston, MA 02118-3549 | 2007-07-17 |
| 1508080060 | Daisy De-peralta-daly | Internal Medicine | 389 Commonwealth Ave, Boston, MA 02115-1802 | 2007-04-13 |
| 1043306558 | Harry T Anastopoulos | Internal Medicine | 110 Francis St Suite 8e, Boston, MA 02215 | 2006-10-04 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.