Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISHNA PANDYA MD
NPI 1316408925
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Active since March 27, 2019PECOS Enrolled
3400 CIVIC CENTER BLVD, 1 WEST PAVILION HARRON LUNG CENTER, PHILADELPHIA, PA 19104(215) 349-8432 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Krishna Pandya Md NPPES

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

KRISHNA PANDYA MD (NPI 1316408925) is an individual pulmonary disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD482224) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1316408925
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameKRISHNA PANDYACredential: MD
Location Address3400 CIVIC CENTER BLVD, 1 WEST PAVILION HARRON LUNG CENTERPhiladelphia, PA 19104-5127
Mailing AddressMassachusetts General Hospital, 55 Fruit StreetBoston, MA 02114-2696
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateOctober 5, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1316408925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PA · MD482224
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114 · Phone (914) 826-6076

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krishna Pandya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284963257
PECOS Enrollment IDI20260708001635
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 Krishna Pandya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pulmonary Disease
3400 SPRUCE ST, 3 RAVDIN, SUITE F, PULMONARY & CRITICAL CARE
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 289 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
2 suppliers16 claims325 services$11.29 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193
Other-Enteral and Parenteral · category OB005N
2 suppliers16 claims113 services$232.28 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
2 suppliers16 claims113 services$8.10 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
2 suppliers16 claims113 services$25.28 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.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

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 Krishna Pandya's NPI number?

The NPI number for Krishna Pandya is 1316408925. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Krishna Pandya located?

Krishna Pandya practices at 3400 Civic Center Blvd 1 West Pavilion Harron Lung Center, Philadelphia, PA 19104. The listed phone number is (215) 349-8432.

What is Krishna Pandya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Krishna Pandya enrolled in Medicare?

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

Which organization bills Medicare for Krishna Pandya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krishna Pandya reassigns Medicare benefits to University Of Penn - Medical Group (Philadelphia, PA). 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 Krishna Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Krishna Pandya affiliated with any hospitals?

According to CMS data, Krishna Pandya is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Krishna Pandya was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.