Individual provider Active NPI

Edward J Krowiak, MD

  • Otolaryngology Physician
  • Carmel, IN
National Provider Identifier
1023018546
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01056660 Issued in IN
Practice address
12188A North Meridian St
Suite 375
Carmel, IN 46032-4578
Phone
(317) 926-1056
Fax
(317) 579-0476
NPI assigned
Jul 27, 2005
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01056660 IN Primary

Addresses

Primary practice location

12188A North Meridian St
Suite 375
Carmel, IN 46032-4578

Mailing address

12188A North Meridian St
Suite 375
Carmel, IN 46032-4578
Phone (317) 926-1056

Other identifiers 1

IdentifierTypeStateIssuer
200418830MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edward.krowiak.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830001144 IN Practitioner - Otolaryngology 7517062136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

12188 A N Meridian St
Suite 375
Carmel, IN 46032-4433
Phone (317) 926-1056

1429 N 6TH St
Terre Haute, IN 47807-1019
Phone (317) 926-1056

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

590 Pit Rd
Brownsburg, IN 46112-7830
Phone (317) 456-1100

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056660INMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jun 1, 2021 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Major Hospital Past Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

1115 Ronald Reagan Pkwy
Ste 254
Avon, IN 46123
Phone (317) 705-2700

590 Pit Rd
Brownsburg, IN 46112
Phone (317) 415-6040

12188A N Meridian St
Ste 375
Carmel, IN 46032

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

Interoperability endpoints

  • Direct secure messaging: edward.krowiak.1@7598.direct.athenahealth.com

Organizations & group practices 6

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 7

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1023018546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12188A NORTH MERIDIAN ST",
            "address_2": "SUITE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-926-1056",
            "fax_number": "317-579-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188A NORTH MERIDIAN ST",
            "address_2": "SUITE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-926-1056",
            "fax_number": "317-579-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROWIAK",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01056660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200418830",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edward.krowiak.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "12188A North Meridian St",
            "address_2": "Suite 375",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.