Jason A Krupp, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C192052 Issued in CA

Practice address

6236 Thornton Ave
Newark, CA 94560-3732

Phone

(510) 248-1860

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Washington Township Medical Foundation

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1346557014

  Family Medicine

  Medicare reassignment NPD
• Jason a Krupp MD PC

  • Clinic/Center
  • Dallas, TX
  • NPI 1427198811

  Internal Medicine

  NPD (past) Authorized official
• Washington Township Medical Foundation

  • Urgent Care Clinic/Center
  • Fremont, CA
  • NPI 1669360681
  NPD
• Alegent Creighton Clinic

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1598811069
  NPD (past)
• Texomacare

  • Family Medicine Physician
  • Denison, TX
  • NPI 1740233592
  NPD (past)
• Uhs of Texoma Inc

  • Home Health Agency
  • Durant, OK
  • NPI 1437782406
  NPD (past)
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1083720130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39300 CIVIC CENTER DR STE 370",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382397",
            "telephone_number": "510-248-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6236 THORNTON AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603732",
            "telephone_number": "510-248-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPP",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "20040216",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "29612",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C192052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Kopenski
• Alexander Paily Koshy
• Kiersten Jade Kovach
• Mariza Krasno, MT
• Cameron Bailey Krishna
• Preeti Kumar, D.D.S
• Sonia Kurusamy
• Peter Kusnierczyk, FNP MSN
• Alison Kyaw, OD
• Laavi Pharmacy, a Professional Corporation

• Internal Medicine Physician in Newark, CA
• Providers in Newark, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.