NPIMap

Individual provider Active NPI

David Kruszewski

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1003870585
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006525L Issued in PA
Practice address
3125 French St
Erie, PA 16504-1068
Phone
(814) 456-2047
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006525L PA Primary

Addresses

Primary practice location

3125 French St
Erie, PA 16504-1068

Mailing address

3125 French St
Erie, PA 16504-1068

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.m.kruszewski@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100108000148 PA Practitioner - Family Practice 1153355680 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Erie Physicians Network-Upmc,IncGroup PAC ID 1052587268, 19 clinicians

Practice addresses (Care Compare)

3535 Pine Ave
Erie, PA 16504-1743
Phone (814) 454-6057

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
82.26
Promoting interoperability
100
Improvement activities
40
Cost
75.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Epn Hamot Urgent Care LLC Family Medicine CurrentSince Jul 1, 2010 Accepting new patients
Erie Physicians Network-Upmc,Inc Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
Regional Health Services Inc Family Medicine CurrentSince Mar 31, 2012 Accepting new patients
The Sarah a. Reed Retirement Center Past Accepting new patients
Erie Physicians Network PC Past Accepting new patients
Presbyterian Homes in the Presbytery of Lake Erie Past Accepting new patients
Erie Physicians Network, PC Past Accepting new patients

Locations

7200 Peach St
Unit 16
Erie, PA 16509
Phone (814) 860-3301

4108 Zuck Rd
Ste D
Erie, PA 16506

215 Holland St
Erie, PA 16507
Phone (814) 453-5058

3125 French St
Erie, PA 16504
Phone (814) 456-2047

3535 Pine Ave
Erie, PA 16504
Phone (814) 454-3363

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

2 Hot Metal St
Bldg N361
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: dkruszewski19493@upmc.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1003870585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 FRENCH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 FRENCH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041068",
            "telephone_number": "814-456-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSZEWSKI",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-03-25",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006525L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.m.kruszewski@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.