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SUNIL KRISHNAN M.D.
NPI 1316046261
Radiology - Radiation Oncology in Houston, TX

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
6400 FANNIN ST STE 220, HOUSTON, TX 77030(713) 704-2650(713) 704-5710 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 14, 2022, Sep 2, 2020, Sep 11, 2019 and 1 more (4 updates tracked since 2019).

About Sunil Krishnan M.d. NPPES

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

SUNIL KRISHNAN M.D. (NPI 1316046261) is an individual radiation oncology provider in Houston, Texas, licensed in Texas (L9295) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1316046261
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameSUNIL KRISHNANCredential: M.D.
Location Address6400 FANNIN ST STE 220Houston, TX 77030-1553
Mailing Address6400 Fannin St Ste 2070Houston, TX 77030-1541 · (713) 486-7747
Phone(713) 704-2650
Fax(713) 704-5710
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 21, 2006
Last NPPES UpdateSeptember 14, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1316046261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in TX · L9295
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License ME142499 (FL)
6400 FANNIN ST STE 220, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.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

Sunil 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 ID1052383601
PECOS Enrollment IDI20040812000849
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

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.

Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
17 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

Other Providers at the Same Location NPPES 2

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

JACQUELINE KAY DENZLER AGACNP-BC
Nurse Practitioner (Acute Care)
6400 FANNIN ST STE 220
HOUSTON, TX 77030
Harris County (713) 704-2650
KRISTINE VALDEZ ZAMBRANO FNP-C
Nurse Practitioner (Family)
6400 FANNIN ST STE 220
HOUSTON, TX 77030
Harris County (713) 486-8000

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 Sunil Krishnan's NPI number?

The NPI number for Sunil Krishnan is 1316046261. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Sunil Krishnan located?

Sunil Krishnan practices at 6400 Fannin St Ste 220, Houston, TX 77030. The listed phone number is (713) 704-2650.

What is Sunil Krishnan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Sunil Krishnan enrolled in Medicare?

Yes. Sunil 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 Sunil Krishnan accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Sunil 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 Sunil Krishnan affiliated with any hospitals?

According to CMS data, Sunil Krishnan is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System and Memorial Hermann Memorial City Hospital.

When was this NPI record last updated?

The NPPES record for Sunil Krishnan was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.