DR. RACHANA KRISHNA M. D
NPI 1386768299
Pediatrics in Cedar Falls, IA

Q: What is Rachana Krishna's NPI number?

The NPI number for Rachana Krishna is 1386768299. It was assigned to this individual provider in the NPPES registry on March 17, 2007. The provider is also known as Dr. Rachana K M. D.

Q: What is Rachana Krishna's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rachana Krishna was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 17, 2007PECOS Enrolled

5100 PRAIRIE PKWY, STE 203, CEDAR FALLS, IA 50613(319) 222-2903(319) 222-2993 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Rachana Krishna M. D NPPES

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

DR. RACHANA KRISHNA M. D (NPI 1386768299) is an individual pediatrics provider in Cedar Falls, Iowa, licensed in Iowa (37060) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386768299

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. RACHANA KRISHNACredential: M. D

Location Address5100 PRAIRIE PKWY, STE 203Cedar Falls, IA 50613-8155

Mailing Address5100 Prairie Pkwy, Ste 203Cedar Falls, IA 50613-8155 · (319) 222-2903 · Fax (319) 222-2993

Phone(319) 222-2903

Fax(319) 222-2993

Sole ProprietorNo

Enumeration DateMarch 17, 2007

Last NPPES UpdateJanuary 23, 2017

✔ NPI 1386768299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IA · 37060✔ Licensed in MI · 4301083716

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5100 PRAIRIE PKWY, Cedar Falls, IA 50613

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Other Names 1

Former Name (1)Dr. Rachana K M. D

Other Identifiers 3

Other57920IA · Wellmark

Medicare UPINI20363IA

Medicaid076372IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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. Rachana Krishna M. D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Rachana Krishna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unitypoint Health - Marshalltown

43 mi

Emergency Medicine

55 UNITYPOINT WAY
Marshalltown, IA 50158

Reassigned Medicare billing, Iowa enrollment
214 clinicians in this Medicare group

NPI 1164957593 (641) 754-5145

Iowa Physicians Clinic Medical Foundation

88 mi

General Practice

8101 BIRCHWOOD CT, SUITE N
Johnston, IA 50131

Reassigned Medicare billing, Iowa enrollment
1,506 clinicians in this Medicare group

NPI 1891127502 (515) 471-9300

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 50613 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims12 services$3.54 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$98.45 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.

KELLI L OHDE DPT

Physical Therapist (Pediatrics)

5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613

Black Hawk County (319) 222-2901

MS. KARMEN RENEE WOELBER PT

Physical Therapist

5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613

Black Hawk County (319) 222-2901

APRIL LEE BARNETT

Nurse Practitioner (Family)

5100 PRAIRIE PKWY
CEDAR FALLS, IA 50613

Black Hawk County (319) 277-1990

MR. BROOK MAHER DPT

Physical Therapist

5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613

Black Hawk County (319) 222-2901

AMY M SINNWELL ARNP

Nurse Practitioner

5100 PRAIRIE PKWY
CEDAR FALLS, IA 50613

Black Hawk County (319) 222-2750

CHRISTOPHER MICHAEL WIEDMAN P.T.

Physical Therapist

5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613

Black Hawk County (319) 222-2901

SHEILA M. GERKEN OT

Occupational Therapist

5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613

Black Hawk County (319) 222-2901

MRS. EMILY RENE' BALL ARNP

Nurse Practitioner (Family)

5100 PRAIRIE PKWY, STE 301
CEDAR FALLS, IA 50613

Black Hawk County (319) 277-1990

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 Rachana Krishna's NPI number?

The NPI number for Rachana Krishna is 1386768299. It was assigned to this individual provider in the NPPES registry on March 17, 2007. The provider is also known as Dr. Rachana K M. D.

Where is Rachana Krishna located?

Rachana Krishna practices at 5100 Prairie Pkwy Ste 203, Cedar Falls, IA 50613. The listed phone number is (319) 222-2903.

What is Rachana Krishna's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rachana Krishna enrolled in Medicare?

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

Which organizations bill Medicare for Rachana Krishna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachana Krishna reassigns Medicare benefits to 2 organizations: Unitypoint Health - Marshalltown (Marshalltown, IA) and Iowa Physicians Clinic Medical Foundation (Johnston, IA). Each 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 Rachana Krishna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachana Krishna accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Rachana 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.

When was this NPI record last updated?

The NPPES record for Rachana Krishna was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.