Mirko Krolo, M.D.
Individual provider Active NPI Anesthesiology Physician · Duluth, MN
NPI 1053413625 · NPPES record last updated Dec 4, 2020
Key facts
- NPI
- 1053413625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 60263 (MN)
- Practice address
- 915 E 1St St
Duluth, MN 55805-2107 - Phone
- (218) 249-5352
- Fax
- (218) 249-5534
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 26
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Luke'S Hospital of Duluth
Practice addresses (Care Compare)
109 N 28TH St E
Superior, WI 54880-6548
Phone (715) 395-3990
915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5555
Hospital & facility affiliations
- St Lukes Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080711000375 | WI | Practitioner - Anesthesiology | 8628176831 | Reassigns benefits to 1 organization |
| I20190726001048 | MN | Practitioner - Anesthesiology | 8628176831 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47201-020 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Anesthesiology | Current |
Accepting new patients |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 47201-020 | WI | |
| Anesthesiology Physician | 207L00000X | 60263 | MN | Yes |
Addresses
Primary practice location
915 E 1St St
Duluth, MN 55805-2107
Mailing address
915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5555
Other practice location 1
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Other providers in Duluth, MN
- Jessica Arrlette Krog-Breeuwer
- Jennifer Lynn Krog
- Kimberly Ann Krohn
- Erin C Krois
- Peter Joseph Kroll
- Richard Lawrence Kronzer
- James Edward Krook
- Karie Kay Kroon
- Karina Krosbakken
- Rhonda Parrella Krossner
All providers in Duluth, MN · Anesthesiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.