Kenneth J Kroopnick, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

173016 Issued in NY

Practice address

4 Normanskill Blvd
Delmar, NY 12054-1335

Phone

(518) 478-9423

Fax

(518) 439-7046

NPI assigned

Aug 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22063/brand/2/csg/1/fhir/r4
• Direct secure messaging: kenneth.kroopnick.1@22063.direct.athenahealth.com

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

• St. Peter's Health Partners Medical Associates, P.C.

  • Multi-Specialty Clinic/Center
  • Albany, NY
  • NPI 1750626834

  Pediatrics

  Medicare reassignment NPD
• Whitney M. Young, Jr. Health Center, Inc.

  • Community Health Clinic/Center
  • Albany, NY
  • NPI 1417924762
  Medicare reassignment NPD
• St. Peter's Health Partners Medical Associates, P.C.

  • Pulmonary Disease Physician
  • Troy, NY
  • NPI 1942545777
  NPD
• Whitney M Young Jr Health Center Inc

  dba Whitney Young Health Rx

  • Community/Retail Pharmacy
  • Albany, NY
  • NPI 1982596870
  NPD
• Whitney M. Young Jr. Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albany, NY
  • NPI 1942660105
  NPD (past)
• Whitney M. Young, Jr. Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albany, NY
  • NPI 1942573027
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1053303974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NORMANSKILL BLVD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541335",
            "telephone_number": "518-478-9423",
            "fax_number": "518-439-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORMANSKILL BLVD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541335",
            "telephone_number": "518-478-9423",
            "fax_number": "518-439-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROOPNICK",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "173016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01100187",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Jean Koonsman, LCSW
• Kosmer Mental Health Counseling PLLC
• Jacob David Kowalewski, PT, DPT
• Jeremy Kowalski
• David Krischer
• Noelle Kuhl
• Kristen Scheurer Kuhn, PT
• Barbara K Lahut, NP
• Suzanne Marie Lambert, RN
• Mary Landry, CCC-SLP

• Pediatrics Physician in Delmar, NY
• Providers in Delmar, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.