KRISHNA PRASAD BASHYAL MD
NPI 1013589969
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since July 12, 2021PECOS Enrolled
211 S 9TH ST STE 210, PHILADELPHIA, PA 19107(215) 955-2820(215) 923-7885 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2024, Jul 12, 2021 (2 updates tracked since 2021).

About Krishna Prasad Bashyal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISHNA PRASAD BASHYAL MD (NPI 1013589969) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Michigan (4351047902) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013589969
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKRISHNA PRASAD BASHYALCredential: MD
Location Address211 S 9TH ST STE 210Philadelphia, PA 19107-6810
Mailing AddressG3230 Beecher Rd Ste 2Flint, MI 48532-3604 · (810) 342-5800 · Fax (810) 342-5810
Fax(215) 923-7885
Sole ProprietorNo
Enumeration DateJuly 12, 2021
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1013589969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351047902
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

211 S 9TH ST STE 210, Philadelphia, PA 19107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Krishna Prasad Bashyal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Rheumatology)
211 S 9TH ST STE 210
PHILADELPHIA, PA 19107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013589969, enumerated as an "individual" on July 12, 2021.

The provider is located at 211 S 9TH ST STE 210 PHILADELPHIA, PA 19107 and the phone number is (215) 955-2820.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.