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KOYAMANGALATH KRISHNAN MD
NPI 1144241464
Internal Medicine - Medical Oncology in Johnson City, TN

Active since July 21, 2006PECOS Enrolled
1 PROFESSIONAL PARK DR, STE 21, JOHNSON CITY, TN 37604(423) 232-6900(423) 232-6903 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Koyamangalath Krishnan Md NPPES

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

KOYAMANGALATH KRISHNAN MD (NPI 1144241464) is an individual medical oncology provider in Johnson City, Tennessee, licensed in Tennessee (30191) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144241464
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameKOYAMANGALATH KRISHNANCredential: MD
Location Address1 PROFESSIONAL PARK DR, STE 21Johnson City, TN 37604-6587
Mailing Address1 Professional Park Dr, Ste 21Johnson City, TN 37604-6587 · (423) 232-6900 · Fax (423) 232-6903
Phone(423) 232-6900
Fax(423) 232-6903
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateFebruary 15, 2017
✔ NPI 1144241464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in TN · 30191
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1 PROFESSIONAL PARK DR, Johnson City, TN 37604
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Other Identifiers 6

Medicare PIN38223541TN
Medicare PIN103I830142TN
Medicaid1144241464VA
MedicaidQ020981TN
OtherP00867848TN · Railroad Medicare
Medicaid3822354TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koyamangalath Krishnan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

JULIA E DAVENPORT FNP
Nurse Practitioner (Family)
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 232-6900
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Medical Oncology)
1 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Washington County (423) 232-6900
MRS. MELANIE R. HARRISON PA-C
Physician Assistant (Surgical)
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 946-4163
TSERING DOLKAR MD
Student in an Organized Health Care Education/Training Program
1 PROFESSIONAL PARK DR
JOHNSON CITY, TN 37604
Washington County (929) 575-9829
NANCY G. BARBARITO M.D.
Family Medicine
1 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Washington County (423) 926-5111
CARMEN W GLEZER NP
Nurse Practitioner
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 928-5111
MARY ANN CASH NP
Nurse Practitioner
1 PROFESSIONAL PARK DR, SUITE 18
JOHNSON CITY, TN 37604
Washington County (276) 676-1860
MOUNTAIN STATES HEALTH ALLIANCE
Social Worker (Clinical)
1 PROFESSIONAL PARK DR, SUITE 21 ROOM C-17
JOHNSON CITY, TN 37604
Washington County (423) 232-6900

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 Koyamangalath Krishnan's NPI number?

The NPI number for Koyamangalath Krishnan is 1144241464. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Koyamangalath Krishnan located?

Koyamangalath Krishnan practices at 1 Professional Park Dr Ste 21, Johnson City, TN 37604. The listed phone number is (423) 232-6900.

What is Koyamangalath Krishnan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Koyamangalath Krishnan enrolled in Medicare?

Yes. Koyamangalath Krishnan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Koyamangalath Krishnan was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.