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DR. SAPNA KRISHNAN MD
NPI 1225527013
Family Medicine in San Pedro, CA

Active since May 07, 2018PECOS EnrolledAccepts Medicare Assignment
1350 W 6TH ST STE 120, SAN PEDRO, CA 90732(310) 548-0201 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2026, May 7, 2018 (2 updates tracked since 2018).

About Dr. Sapna Krishnan Md NPPES

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

DR. SAPNA KRISHNAN MD (NPI 1225527013) is an individual family medicine provider in San Pedro, California, licensed in California (A204726) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225527013
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAPNA KRISHNANCredential: MD
Location Address1350 W 6TH ST STE 120San Pedro, CA 90732-3544
Mailing Address2309 Skyview PlFairfield, CA 94534-8617
Phone(310) 548-0201
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 7, 2018
Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1225527013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A204726
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1350 W 6TH ST STE 120, San Pedro, CA 90732
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sapna Krishnan Md 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 ID8628327871
PECOS Enrollment IDI20260202002827
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.

Medicare Billing Reassignment

Medicare enrollment records show Sapna Krishnan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr Mona Shah Professional Corporation
1.1 mi
Internal Medicine
1600 S GAFFEY ST
San Pedro, CA 90731
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1053643171 (310) 548-0201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90732 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Sapna Krishnan's NPI number?

The NPI number for Sapna Krishnan is 1225527013. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Sapna Krishnan located?

Sapna Krishnan practices at 1350 W 6th St Ste 120, San Pedro, CA 90732. The listed phone number is (310) 548-0201.

What is Sapna Krishnan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sapna Krishnan enrolled in Medicare?

Yes. Sapna 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.

Which organization bills Medicare for Sapna Krishnan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sapna Krishnan reassigns Medicare benefits to Dr Mona Shah Professional Corporation (San Pedro, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sapna Krishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sapna Krishnan was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.