SUMANT G KRISHNAN M.D.
NPI 1013939487
Orthopaedic Surgery in Dallas, TX

Q: What is Sumant Krishnan's NPI number?

The NPI number for Sumant Krishnan is 1013939487. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Sumant Krishnan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Sumant Krishnan was last updated on April 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment

9301 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75231(214) 220-2468(214) 397-1555 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sumant G Krishnan M.d. NPPES

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

SUMANT G KRISHNAN M.D. (NPI 1013939487) is an individual orthopaedic surgery provider in Dallas, Texas, licensed in Texas (K1229) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Baylor College Of Medicine (1995).

NPPES Registry Identity

NPI1013939487

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameSUMANT G KRISHNANCredential: M.D.

Location Address9301 N CENTRAL EXPY, SUITE 400Dallas, TX 75231-0806

Mailing Address9301 N Central Expy, Suite 400Dallas, TX 75231-0806 · (214) 220-2468 · Fax (214) 397-1555

Phone(214) 220-2468

Fax(214) 397-1555

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 1995

Enumeration DateJuly 24, 2006

Last NPPES UpdateApril 4, 2022

NPPES CertifiedApril 4, 2022

✔ NPI 1013939487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · K1229

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

9301 N CENTRAL EXPY, Dallas, TX 75231

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Other Identifiers 4

Other81702NTX · Blue Cross Blue Shield

Other0193579TX · Labor Dept Washington Sta

Medicaid144566001TX

Other200042568TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sumant G Krishnan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466474812

PECOS Enrollment IDI20100623000799

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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of upper arm, minimum of 2 views 73060

An X-ray of the upper arm with a minimum of 2 views involves capturing images of your arm from different angles. This helps in assessing the bones and surrounding tissues for any abnormalities or injuries. It's a quick, painless procedure.

1,309 services433 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

917 services433 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

289 services229 patients

X-ray of collar bone 73000

An X-ray of the collar bone is a quick, painless test that produces images of this bone to help diagnose fractures or other abnormalities. The procedure involves a small amount of radiation to capture these images. During the test, you'll be asked to stay still to ensure clear results.

237 services229 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

169 services169 patients

X-ray of shoulder, 1 view 73020

An X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.

119 services113 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

94 services94 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

53 services53 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

45 services45 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

38 services38 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

38 services38 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

38 services38 patients

Revision of total shoulder repair, total shoulder 23474

A revision of total shoulder repair is a procedure performed if an initial shoulder replacement surgery didn't achieve desired results or complications have arisen. The surgeon replaces the previously implanted artificial shoulder joint with a new one, aiming to restore function and relieve pain.

20 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services14 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Bsa Hospital

Acute Care Hospitals · Amarillo, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450231

Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County

Emergency services Birthing friendly

Wilson N Jones Regional Medical Center

Acute Care Hospitals · Sherman, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450469

Location500 N Highland AvenueSherman, TX 75091 · Grayson County

Emergency services Birthing friendly

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670073

Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier109 claims109 services$89.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

THOMAS C DILIBERTI MD PA

Orthopaedic Surgery (Hand Surgery)

9301 N CENTRAL EXPY, STE. 340
DALLAS, TX 75231

Dallas County (214) 528-6210

RIYA KATRINA SHARMA PA-C

Physician Assistant

9301 N CENTRAL EXPY
DALLAS, TX 75231

Dallas County (214) 220-2468

DR. SIDNEY WEIDENBACH PT, DPT

Physical Therapist

9301 N CENTRAL EXPY, TOWER II, 4TH FLOOR, SUITE 451
DALLAS, TX 75231

Dallas County (214) 397-1570

LABORATORY SERVICES OF EAST TEXAS

Clinical Medical Laboratory

9301 N CENTRAL EXPY, SUITE 335B
DALLAS, TX 75231

Dallas County (214) 618-8226

LABORATORY SERVICES OF EAST TEXAS

Clinical Medical Laboratory

9301 N CENTRAL EXPY, TOWER B 335B
DALLAS, TX 75231

Dallas County (214) 618-8226

TERRY W PEREZ P.T.

Physical Therapist

9301 N CENTRAL EXPY, SUITE 400
DALLAS, TX 75231

Dallas County (214) 220-2468

JUDITH A CISSELL OTR

Occupational Therapist

9301 N CENTRAL EXPY, SUITE 340
DALLAS, TX 75231

Dallas County (214) 528-6210

MICHELLE SANDERS FNP

Nurse Practitioner (Family)

9301 N CENTRAL EXPY, SUITE 310
DALLAS, TX 75231

Dallas County (972) 408-2777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sumant Krishnan's NPI number?

The NPI number for Sumant Krishnan is 1013939487. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Sumant Krishnan located?

Sumant Krishnan practices at 9301 N Central Expy Suite 400, Dallas, TX 75231. The listed phone number is (214) 220-2468.

What is Sumant Krishnan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Sumant Krishnan enrolled in Medicare?

Yes. Sumant Krishnan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sumant Krishnan accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Sumant Krishnan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sumant Krishnan affiliated with any hospitals?

According to CMS data, Sumant Krishnan is affiliated with Baylor University Medical Center, Ascension Providence, Bsa Hospital, Wilson N Jones Regional Medical Center and Methodist Hospital For Surgery.

When was this NPI record last updated?

The NPPES record for Sumant Krishnan was last updated on April 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.