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Deactivated NPI 1760441083 Deactivated / Inactive NPI Male Practitioner

Dr. Nagu B Krishnappa , MD

Pediatrics • Irwin, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Nagu Krishnappa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 23, 2006
NPI Deactivation Date June 21, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Nagu Krishnappa, MD was a registered Pediatrics practicing in Irwin, PA. Throughout an active medical career spanning 17 years, Dr. Krishnappa provided care at the practice location at 111 BLACKS HILL RD until profile deactivation on 2023-06-21.

Practice Location & Contact Primary Location

Practice Address

111 Blacks Hill Rd

Irwin, PA 15642

Telephone 7248642711
Fax 7248646536
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Irwin, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Irwin, PA (3505 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License PA MD 018139E

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 21, 2023

Record deactivated on June 21, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 111 BLACKS HILL RD, IRWIN, PA 15642 (Tel: 7248642711)

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Updated Business Mailing Address July 08, 2007

Registered at 111 BLACKS HILL RD, IRWIN, PA 15642 (Tel: 7248642711)

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Provider Name / Credentials Updated July 08, 2007

Recorded as NAGU KRISHNAPPA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #MD 018139E in PA)

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Initial NPI Registration & Enumeration March 23, 2006

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: 1760441083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2006
Last Update: July 08, 2007
Deactivation Date: June 21, 2023

Mailing Address

111 Blacks Hill Rd

Irwin, PA 15642

Phone: 7248642711

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.