Active NPI
Diane Marie Krutzler-Berry, MD
- Surgery Physician
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30719
- Practice address
- 1400 Hal Greer Blvd
Huntington, WV 25701-4114 - Phone
- (304) 399-6610
- Fax
- (304) 399-6621
- NPI assigned
- Jul 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 00000 | FL | |
| Surgery Physician | 208600000X | 30719 | WV | Primary |
Addresses
Primary practice location
1400 Hal Greer Blvd
Huntington, WV 25701-4114
Mailing address
1400 Hal Greer Blvd
Huntington, WV 25701-4114
Phone (304) 399-6610
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Diane.Krutzler@marshall.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Hal Greer Blvd
Huntington, WV 25701-4114
Phone (304) 526-2000
Hospital & facility affiliations
- Cabell Huntington Hospital, Inc
- St Marys Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 20 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | FL | MD | Phlebology Physician |
| 30719 | WV | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabell Huntington Hospital Inc | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Past | Accepting new patients |
Locations
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
1400 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-6610
Interoperability endpoints
- diane.krutzler@marshall.cernerdirect.com
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Huntington, WV
- NPI 1275576373
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1104901784
-
- Home Health Agency
- Huntington, WV
- NPI 1669558904
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1659456234
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1073878872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257014114",
"telephone_number": "304-399-6610",
"fax_number": "304-399-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257014114",
"telephone_number": "304-399-6610",
"fax_number": "304-399-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUTZLER-BERRY",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-08",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "00000",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "30719",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Diane.Krutzler@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "1400 Hal Greer Blvd",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257014114",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.