DR. KRISHNA KISHORE UMAPATHI MBBS, MD, MSC
NPI 1962854737
Pediatrics - Pediatric Cardiology in Charleston, WV

Active since July 05, 2016PECOS Enrolled
90.11/100
CMS Quality Rating
800 PENNSYLVANIA AVE STE 103, CHARLESTON, WV 25302(216) 309-5642 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2025, May 5, 2022 (2 updates tracked since 2022).

About Dr. Krishna Kishore Umapathi Mbbs, Md, Msc NPPES

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

DR. KRISHNA KISHORE UMAPATHI MBBS, MD, MSC (NPI 1962854737) is an individual pediatric cardiology provider in Charleston, West Virginia, licensed in West Virginia (31201) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962854737
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. KRISHNA KISHORE UMAPATHICredential: MBBS, MD, MSC
Location Address800 PENNSYLVANIA AVE STE 103Charleston, WV 25302-3351
Mailing Address800 Pennsylvania AveCharleston, WV 25302-3351
Sole ProprietorYes
Enumeration DateJuly 5, 2016
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1962854737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in WV · 31201✔ Licensed in IL · 036149860
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 57.028502 (OH)
800 PENNSYLVANIA AVE STE 103, Charleston, WV 25302

Secondary Practice Locations 3

Location 11653 W Congress Pkwy # 654Chicago, IL 60612-3833 · Phone (312) 942-3034
Location 22500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-4486
Location 3812 Gorman AveElkins, WV 26241-3181 · Phone (304) 637-3894

Accepted 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. Krishna Kishore Umapathi Mbbs, Md, Msc 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

2

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

Rural Health
1 LIBRARY LN
Left Hand, WV 25251
  • Reassigned Medicare billing, West Virginia enrollment
  • 90 clinicians in this Medicare group
General Acute Care Hospital
812 GORMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 246 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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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 Kishore Umapathi's NPI number?

The NPI number for Krishna Kishore Umapathi is 1962854737. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Where is Krishna Kishore Umapathi located?

Krishna Kishore Umapathi practices at 800 Pennsylvania Ave Ste 103, Charleston, WV 25302. The listed phone number is (216) 309-5642.

What is Krishna Kishore Umapathi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Krishna Kishore Umapathi enrolled in Medicare?

Yes. Krishna Kishore Umapathi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Krishna Kishore Umapathi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krishna Kishore Umapathi reassigns Medicare benefits to 2 organizations: Hospital Development Co (Left Hand, WV) and Davis Memorial Hospital (Elkins, WV). 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 Krishna Kishore Umapathi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krishna Kishore Umapathi accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Krishna Kishore Umapathi 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 Krishna Kishore Umapathi was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.