Individual provider Active NPI

Karen L Kriza, MD

  • Emergency Medicine Physician
  • Summerville, SC
National Provider Identifier
1023059011
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
22679 Issued in SC
Practice address
295 Midland Parkway
Summerville, SC 29483
Phone
(843) 832-5000
NPI assigned
Jun 9, 2006
Last updated
May 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22679 SC Primary

Addresses

Primary practice location

295 Midland Parkway
Summerville, SC 29483

Mailing address

PO Box 11450
Westminster, CA 92685
Phone (800) 509-8138

Other identifiers 1

IdentifierTypeStateIssuer
226794MedicaidSC

Other names 1

  • Karen Kriza Devries Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20061114000463 SC Practitioner - Emergency Medicine 6901804590 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Trident Emergency Physicians LLC Emergency Medicine PastSince Sep 1, 2012 Accepting new patients
East Cooper Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Alamance Regional Medical Center, Inc. Past Accepting new patients
Apollomd Group Services, LLC Emergency Medicine Past Accepting new patients
Alamance Regional Medical Center, Inc Past Accepting new patients

Locations

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1023059011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11450",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92685",
            "telephone_number": "800-509-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MIDLAND PARKWAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29483",
            "telephone_number": "843-832-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZA",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "22679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226794",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "DEVRIES",
            "middle_name": "KRIZA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.