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Active NPI 1649269689 Individual Practitioner Male Practitioner

Dr. Krishnakanthan Sasankan , MD

Pediatrics • Gainesville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Krishnakanthan Sasankan, MD is a registered healthcare professional specializing in Pediatrics in Gainesville, FL. Practice services are available at 1600 SW ARCHER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 Sw Archer Rd

Gainesville, FL 326105102

Telephone 3522650111
Associated Practice Facility / Clinic
🏢 Faculty Associates, Inc Facility NPI 1659322014

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
132 Specialists

Practicing in Gainesville, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME161851

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NY 193354

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01439409 (NY)
Commercial Insurance / Payer ID Bc/bs
000523039005 (NY)
Commercial Insurance / Payer ID Univera
00010157703 (NY)
Commercial Insurance / Payer ID Fidelis
040426002481 (NY)
Commercial Insurance / Payer ID Iha
1209766 (NY)
Commercial Insurance / Payer ID Preferred Care
143850DL (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Brandace Kenworthy , ARNP

Nurse Practitioner - Family

NPI 1003272311

Advanced Registered Nurse Practitioner

Kyndal Smith

Nurse Anesthetist, Certified Registered

NPI 1003444787
Dr. James Antonios , MD

Student in an Organized Health Care Education/Training Program

NPI 1003600305

Doctor of Medicine (M.D.)

Justin Leal

Student in an Organized Health Care Education/Training Program

NPI 1003643388
Barbara Allen , ARNP

Nurse Practitioner - Women's Health

NPI 1013257583

Advanced Registered Nurse Practitioner

Jesse Armstrong

Student in an Organized Health Care Education/Training Program

NPI 1013603646

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 28, 2023

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326105102 (Tel: 3522650111)

📍
Updated Business Mailing Address December 28, 2023

Registered at PO BOX 100296, GAINESVILLE, FL 326103003 (Tel: 3526279350)

NPI Profile Active July 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2014

Registered at 6000 N BAILEY AVE, AMHERST, NY 142265102 (Tel: 7168344522)

📍
Updated Business Mailing Address July 23, 2014

Registered at 6000 N BAILEY AVE, AMHERST, NY 142265102 (Tel: 7168344522)

👤
Provider Name / Credentials Updated July 23, 2014

Recorded as KRISHNAKANTHAN SASANKAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2014

Pediatrics (License #193354 in NY)

🟢
Initial NPI Registration & Enumeration October 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649269689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2005
Last Update: December 28, 2023
Sole Proprietor: No

Mailing Address

Po Box 100296

Gainesville, FL 326103003

Phone: 3526279350

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.