Individual provider Active NPI

Andrew E Krick, MD

  • Internal Medicine Physician
  • Doylestown, PA
National Provider Identifier
1003880352
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD017380E Issued in PA
Practice address
310 Farm Lane
Doylestown, PA 18901-4732
Phone
(215) 348-3990
Fax
(215) 348-7705
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD017380E PA Primary

Addresses

Primary practice location

310 Farm Lane
Doylestown, PA 18901-4732

Mailing address

310 Farm LN
Doylestown, PA 18901-4732
Phone (215) 348-3990

Other identifiers 19

IdentifierTypeStateIssuer
000635564MedicaidPA
0006355640003MedicaidPA
007302OtherMANAGED CARE
21198960001OtherKEYSTONE HLTHPLAN EAST 65
2119896001OtherAMERIHEALTH HMO
4708888939OtherFIRST HEALTH
4708888939OtherCCN
470888939OtherINTERCOUNTY
0001435061OtherPENNSYLVANIA BLUE SHIELD
2119896001OtherAMERIHEALTH ADMINISTRATOR
007302OtherAETNA PPO
1058232OtherKEYSTONE MERCY HEALTHPLAN
0001435061OtherPERSONAL CHOICE
007302OtherAETNA
21198960001OtherKEYSTONE HEALTH PLAN EAST
21198960001OtherKEYSTONE LIAISON
0001435061OtherPERSONAL CHOICE 65
4708888939OtherDEVON
PC0140OtherHEALTH NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017380EPAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1003880352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 FARM LN",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014732",
            "telephone_number": "215-348-3990",
            "fax_number": "215-348-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FARM LANE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014732",
            "telephone_number": "215-348-3990",
            "fax_number": "215-348-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRICK",
        "first_name": "ANDREW",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD017380E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000635564",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006355640003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED CARE",
            "identifier": "007302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HLTHPLAN EAST 65",
            "identifier": "21198960001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2119896001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "4708888939",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "4708888939",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERCOUNTY",
            "identifier": "470888939",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "0001435061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "2119896001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "007302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTHPLAN",
            "identifier": "1058232",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0001435061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "007302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "21198960001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE LIAISON",
            "identifier": "21198960001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE 65",
            "identifier": "0001435061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "4708888939",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "PC0140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.