KRISHNA GANNAMANENI (MD) – Gastroenterology Physician, NPI 1235107673

KRISHNA GANNAMANENI (MD) is a healthcare provider. based in Lafayette, Indiana. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 01059023A (IN). The NPI Number for KRISHNA GANNAMANENI (MD) is 1235107673

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
KRISHNA GANNAMANENI (MD)
NPI
1235107673
Phone
(765) 807-2787
Address
1345 UNITY PL STE 110
Enumeration Date
10 March 2006
Last Update Date
6 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7654000204
Graduation Year
1989 (37 years ago)
PAC ID
5395738322
Group Practice PAC ID
0244123362
Professional Enrollment ID
I20041020000478
Address ID
IN479054925LA3900XWAYX401

Contacts

Secure Messaging
krishnagannamaneni@idx.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

448 GASTROENTEROLOGY in IN

Provider Addresses for KRISHNA GANNAMANENI (MD)

  • 1345 UNITY PL STE 110

    LAFAYETTE, IN 479055768

    Phone: (765) 807-2787

    Fax: (765) 807-2789

    Type: Location

  • Lafayette Post Office, 99, Chauncy Street, Downtown Crossing, Downtown Boston, Boston, Suffolk County, Massachusetts, 02111, United States

    LAFAYETTE, IN 479034699

    Phone: (765) 449-2732

    Fax: (765) 449-1196

    Type: Mailing

  • 3930, Mezzanine Drive, Cascada Business Park, Lafayette, Tippecanoe County, Indiana, 47905, United States

    SUITE D

    LAFAYETTE, IN 479058646

    Phone: (765) 807-2787

    Fax: (765) 807-2786

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,045.

Total Amount is formed as General ($1,045) + Research ($0) + Ownership ($0) = $1,045.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($348).

Total Amount

$1,045

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,045

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041020000478IGastroenterologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare297291$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope215201$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes17275$0
99213Established patient office or other outpatient visit, 20-29 minutes8465$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7269$0
View full utilization report →

Insurance plans in this area (ZIP 47905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244123362View full group profile
NameSpecialtyState
P O D I A T R YIN
-IN
Physician AssistantIN
Nurse PractitionerIN
-IN
Physical Therapist In Private PracticeIN
-IN
-IN
Physical Therapist In Private PracticeIN
A L L E R G Y/ I M M U N O L O G YIN

Reviews

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Frequently asked questions

What federal number belongs to KRISHNA GANNAMANENI (MD)?
The federal identifier for KRISHNA GANNAMANENI (MD) is NPI 1235107673.
Is KRISHNA GANNAMANENI (MD) currently active in the NPI registry?
CMS-published data lists KRISHNA GANNAMANENI (MD) as an active registrant.
What kind of provider is KRISHNA GANNAMANENI (MD)?
The page reflects Gastroenterology Physician for KRISHNA GANNAMANENI (MD). Clinical services aligned with this taxonomy classification.
Where is KRISHNA GANNAMANENI (MD)'s primary listing?
We display Lafayette, Indiana because that is what the record indicates for KRISHNA GANNAMANENI (MD).
What if Lafayette, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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