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DR. KALPANA ANANTHA KRISHNA M.D.
NPI 1316976566
Internal Medicine in Fayetteville, NC

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment
1212 WALTER REED RD, FAYETTEVILLE, NC 28304(910) 488-6337(910) 488-1384 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kalpana Anantha Krishna M.d. NPPES

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

DR. KALPANA ANANTHA KRISHNA M.D. (NPI 1316976566) is an individual internal medicine provider in Fayetteville, North Carolina, licensed in North Carolina (95000382) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1316976566
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KALPANA ANANTHA KRISHNACredential: M.D.
Location Address1212 WALTER REED RDFayetteville, NC 28304-4440
Mailing Address1212 Walter Reed RdFayetteville, NC 28304-4440 · (910) 488-6337 · Fax (910) 488-1384
Phone(910) 488-6337
Fax(910) 488-1384
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 1, 2006
Last NPPES UpdateApril 21, 2016
✔ NPI 1316976566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 95000382
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.
1212 WALTER REED RD, Fayetteville, NC 28304
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Other Identifiers 6

Medicare PIN2232496ANC
Other110148824NC · Medicare Railroad
Medicare UPINF72909
Other50347NC · Blue Cross/blue Shield
Medicaid8950347NC
Medicare UPIN2232496C

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Dr. Kalpana Anantha Krishna 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 ID547346975
PECOS Enrollment IDI20080326000688
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 3

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.
324 services140 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.
161 services104 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.
95 services95 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Cape Fear Valley Hoke Hospital

Acute Care Hospitals · Raeford, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340188
Location210 Medical Pavilion DriveRaeford, NC 28376 · Hoke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

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
6 suppliers13 claims32 services$6.21 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$182.54 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 4

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

MRS. MOLLY MCGOWAN WHITE MS, CCC/SLP
Speech-Language Pathologist
1212 WALTER REED RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 299-0700
PHILLIPS EYE, PLLC
Ophthalmology
1212 WALTER REED RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 574-5009
RJ SHEPHERD INC
Community/Behavioral Health
1212 WALTER REED RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 424-2929
BRANDON NICKOLAS PHILLIPS MD
Ophthalmology
1212 WALTER REED RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 930-0704

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 Kalpana Krishna's NPI number?

The NPI number for Kalpana Krishna is 1316976566. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Kalpana Krishna located?

Kalpana Krishna practices at 1212 Walter Reed Rd, Fayetteville, NC 28304. The listed phone number is (910) 488-6337.

What is Kalpana Krishna's specialty?

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

Is Kalpana Krishna enrolled in Medicare?

Yes. Kalpana Krishna 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 Kalpana Krishna accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Kalpana 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 Kalpana Krishna affiliated with any hospitals?

According to CMS data, Kalpana Krishna is affiliated with Cape Fear Valley Medical Center and Cape Fear Valley Hoke Hospital.

When was this NPI record last updated?

The NPPES record for Kalpana Krishna was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.