DR. PREETHI KRISHNAN (M.D) – Endocrinology, Diabetes & Metabolism Physician, NPI 1790904134

DR. PREETHI KRISHNAN (M.D) is a healthcare provider. based in Newark, Ohio. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 255009 (NY). The NPI Number for DR. PREETHI KRISHNAN (M.D) is 1790904134

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. PREETHI KRISHNAN (M.D)
NPI
1790904134
Phone
(220) 564-7950
Address
1272 W MAIN ST STE 204
Enumeration Date
24 April 2007
Last Update Date
16 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2015678999
Graduation Year
2004 (22 years ago)
PAC ID
6800911959
Group Practice PAC ID
0840387023
Professional Enrollment ID
I20190404000374
Address ID
NJ076312409EN229XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

410 ENDOCRINOLOGY in OH

Provider Addresses for DR. PREETHI KRISHNAN (M.D)

  • 1272 W MAIN ST STE 204

    NEWARK, OH 430552055

    Phone: (220) 564-7950

    Fax: (220) 564-7951

    Type: Mailing

  • 221 ENGLE ST

    ENGLEWOOD, NJ 076312409

    Phone: (201) 567-8999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $298.

Total Amount is formed as General ($298) + Research ($0) + Ownership ($0) = $298.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: Mannkind Corporation ($119).

Total Amount

$298

General + Research + Ownership

Payments

3

Total payment records

General Amount

$298

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

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: 2019-04-04

PECOS data refreshed: 2026-06-15

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
I20190404000374IEndocrinologyNJTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes396159$0
36415Insertion of needle into vein for collection of blood sample324136$0
80053Blood test, comprehensive group of blood chemicals257121$0
84439Thyroxine (thyroid chemical), free243124$0
84443Blood test, thyroid stimulating hormone (tsh)235121$0
View full utilization report →

Insurance plans in this area (ZIP 43055)

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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: 0840387023View full group profile
NameSpecialtyState
E N D O C R I N O L O G YNJ
E N D O C R I N O L O G YNY
Physician AssistantNJ
Endocrinology, Internal MedicineNY
E N D O C R I N O L O G YNJ
Physician AssistantNJ
Endocrinology, Internal MedicineNJ
Internal Medicine, EndocrinologyNJ

Reviews

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Frequently asked questions

What is DR. PREETHI KRISHNAN (M.D)'s NPI number?
DR. PREETHI KRISHNAN (M.D)'s NPI is 1790904134 — the number used across U.S. healthcare to identify this provider.
Would DR. PREETHI KRISHNAN (M.D) appear as active to a payer?
You can treat DR. PREETHI KRISHNAN (M.D) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. PREETHI KRISHNAN (M.D)?
At a glance, DR. PREETHI KRISHNAN (M.D) is tied to Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Is DR. PREETHI KRISHNAN (M.D) located near Newark?
DR. PREETHI KRISHNAN (M.D) currently maps to Newark, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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