Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Krupa Revanna Nataraj, MD

Individual provider Psychiatry Physician · NPI 1720511272

Krupa Revanna Nataraj, MD is a Psychiatry in Johnson City, Tennessee. Qualified in 2015, 11 years ago. Practices with Axis Healthcare Group, a 74-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

178 Maple Ct
Johnson City, TN 37615-3156
Phone: (301) 836-1346
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966-1206 — (239) 208-2212
  • 8040 Georgia Ave Ste 170, Silver Spring, MD 20910-4959 — (202) 360-4787
  • 2790 Clay Edwards Dr Ste 1235, North Kansas City, MO 64116-3276 — (816) 472-5157

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME164267 (FL)

Record details

NPI number1720511272
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2017
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Axis Healthcare Group — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Johnson City