Individual provider Active NPI

Chrisanne Kuczmarski, M.D.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1093021925
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
281861 Issued in NY
Practice address
731 White Plains Rd
Bronx, NY 10473-2631
Phone
(718) 589-8775
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 281861 NY Primary
Family Medicine Physician 207Q00000X MD61351968 WA
Family Medicine Physician 207Q00000X Q7728 TX

Addresses

Primary practice location

731 White Plains Rd
Bronx, NY 10473-2631

Mailing address

731 White Plains Rd
Bronx, NY 10473-2631
Phone (718) 589-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160503002345 TX Practitioner - Family Practice 7315246915 Reassigns benefits to 3 organizations
I20170929000144 NY Practitioner - Family Practice 7315246915 Reassigns benefits to 1 organization
I20240311002058 WA Practitioner - Family Practice 7315246915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Columbia University College of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

1331 Bandera Hwy
Suite 3B
Kerrville, TX 78028-9535
Phone (830) 258-7762

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Medical Associates Family Medicine CurrentSince Nov 3, 2025 Accepting new patients
Yellowhawk Tribal Health Center CurrentSince Aug 10, 2020 Accepting new patients
Community Health Center of Snohomish County CurrentSince Jan 22, 2024 Accepting new patients
Tulalip Tribes of Washington CurrentSince May 20, 2022 Accepting new patients
Community Health Center of Snohomish County Family Medicine CurrentSince Jan 22, 2024 Accepting new patients
Tulalip Tribes of Washington CurrentSince May 20, 2022 Accepting new patients

Locations

46314 Timine Way
Pendleton, OR 97801
Phone (541) 966-9830

575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

1331 Bandera Hwy
Ste 3B
Kerrville, TX 78028
Phone (830) 258-7762

8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200

1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001

930 N Broadway
Everett, WA 98201
Phone (425) 317-0300

6406 Marine Dr
Ste A
Tulalip, WA 98271

7520 Totem Beach Rd
Tulalip, WA 98271
Phone (360) 651-4511

Interoperability endpoints

  • Direct secure messaging: chrisanne.kuczmarski.3@8363.direct.athenahealth.com
  • Direct secure messaging: ckuczmarski768870@direct.multicare.org
  • Direct secure messaging: chrisanne.kuczmarski.1@21041.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1093021925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732631",
            "telephone_number": "718-589-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732631",
            "telephone_number": "718-589-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCZMARSKI",
        "first_name": "CHRISANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "281861",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61351968",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.