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DR. SUNANDA KRISHNA M.D.
NPI 1245205145
Internal Medicine in Toms River, NJ

Active since February 22, 2006PECOS Enrolled
3 PLAZA DR, SUITE 14, TOMS RIVER, NJ 08757(732) 240-0303(732) 240-2430 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sunanda Krishna M.d. NPPES

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

DR. SUNANDA KRISHNA M.D. (NPI 1245205145) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (MA069912) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1245205145
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUNANDA KRISHNACredential: M.D.
Location Address3 PLAZA DR, SUITE 14Toms River, NJ 08757-3759
Mailing Address3 Plaza Dr, Suite 14Toms River, NJ 08757-3759 · (732) 240-0303 · Fax (732) 240-2430
Phone(732) 240-0303
Fax(732) 240-2430
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJanuary 4, 2011
✔ NPI 1245205145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA069912
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3 PLAZA DR, Toms River, NJ 08757
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Other Identifiers 2

Medicare UPINH06888NJ
Medicare ID-Type Unspecified038469NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sunanda Krishna M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325003312
PECOS Enrollment IDI20041201000778
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 Sunanda Krishna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sunanda Krishna, M.D., LLC
Same address
Internal Medicine
3 PLAZA DR, SUITE 14
Toms River, NJ 08757
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1144423161 (732) 240-0303

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

Areas of Expertise CMS Part B claims 12

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.

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.
696 services353 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
232 services232 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
209 services209 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.
162 services107 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
43 services43 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
43 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08757 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
70%996 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
30%588 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%331 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
83%588 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
45%588 patients3/55-star benchmark: 75%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
5%165 patients1/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
3%588 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers38 claims121 services$5.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims25 services$1.06 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.76 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.

MR. JOHN P SERSANTI MD
Family Medicine
3 PLAZA DR, STE 10
TOMS RIVER, NJ 08757
Ocean County (732) 797-0477
DR. TEJAS P. DELIWALA NEUROLOGICAL CARE CENTER PA
Psychiatry & Neurology (Neurology)
3 PLAZA DR, SUITE 13
TOMS RIVER, NJ 08757
Ocean County (732) 240-9222
DR. EMAD KAMEL M.D.
Internal Medicine (Pulmonary Disease)
3 PLAZA DR, SUITE 2
TOMS RIVER, NJ 08757
Ocean County (732) 341-1380
SUNANDA KRISHNA, M.D., LLC
Internal Medicine
3 PLAZA DR, SUITE 14
TOMS RIVER, NJ 08757
Ocean County (732) 240-0303
PATRICK JOSEPH ALCASID M.D.
Internal Medicine (Pulmonary Disease)
3 PLAZA DR, SUITE 2
TOMS RIVER, NJ 08757
Ocean County (732) 341-1380
MR. ELMER SONZA SADIANG-ABAY RN., MSN, APRN-BC
Nurse Practitioner (Adult Health)
3 PLAZA DR, SUITE 3
TOMS RIVER, NJ 08757
Ocean County (732) 240-4000
DR. ANIL KUMAR SHARMA M.D.
Internal Medicine
3 PLAZA DR, SUITE 4
TOMS RIVER, NJ 08757
Ocean County (732) 473-0025
DR. BRUCE WILLIAM COOPERMAN DPM
Podiatrist
3 PLAZA DR, STE 11
TOMS RIVER, NJ 08757
Ocean County (732) 349-3400

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 Sunanda Krishna's NPI number?

The NPI number for Sunanda Krishna is 1245205145. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Sunanda Krishna located?

Sunanda Krishna practices at 3 Plaza Dr Suite 14, Toms River, NJ 08757. The listed phone number is (732) 240-0303.

What is Sunanda Krishna's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sunanda Krishna enrolled in Medicare?

Yes. Sunanda Krishna is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sunanda Krishna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunanda Krishna reassigns Medicare benefits to Sunanda Krishna, M.D., LLC (Toms River, NJ). 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 Sunanda Krishna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunanda Krishna accept?

Health plans from Oscar Health list Sunanda Krishna 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 Sunanda Krishna affiliated with any hospitals?

According to CMS data, Sunanda Krishna is affiliated with Community Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Sunanda Krishna was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.