Individual provider Active NPI

Jan Kriska, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Mount Airy, NC
National Provider Identifier
1104823327
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
9701018 Issued in NC
Practice address
708 S South St Ste 400
Mount Airy, NC 27030-4589
Phone
(336) 415-5126
Fax
(336) 415-5169
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9701018 NC
Sleep Medicine (Internal Medicine) Physician 207RS0012X 9701018 NC Primary

Addresses

Primary practice location

708 S South St Ste 400
Mount Airy, NC 27030-4589

Mailing address

708 S South St Ste 400
Mount Airy, NC 27030-4589
Phone (336) 415-5126

Other identifiers 12

IdentifierTypeStateIssuer
001011966003OtherNCONE HEALTH/GREAT WEST
1055XOtherNCBCBS OF NC
110153703OtherNCRAILROAD MEDICARE
111395OtherNCCIGNA
75844OtherNCMEDCOST
890155XMedicaidNC
142031OtherNCSOUTHCARE PPO
1789230OtherNCUNITED HEALTHCARE
253533OtherNCTRIGON BCBS OF VA
277869OtherNCMAMSI
20412OtherNCPARTNERS MEDICARE
5892546OtherNCAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20091203000652 NC Practitioner - Internal MedicinePractitioner - Sleep Medicine 6002905486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kriska Health, PLLCGroup PAC ID 8729516216, 2 clinicians

Practice addresses (Care Compare)

708 S S St
Suite 400
Mount Airy, NC 27030-4589
Phone (336) 415-5126

Hospital & facility affiliations

  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9701018NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kriska Health, PLLC Sleep Medicine CurrentSince Nov 5, 2024 Accepting new patients

Locations

1814 N Bridge St
Elkin, NC 28621
Phone (336) 258-2150

708 S South St
Ste 400
Mount Airy, NC 27030
Phone (336) 415-5126

1707 Industrial Dr
Wilkesboro, NC 28697
Phone (336) 488-5565

Interoperability endpoints

  • Direct secure messaging: jan.kriska.1@15683.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1104823327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S SOUTH ST STE 400",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304589",
            "telephone_number": "336-415-5126",
            "fax_number": "336-415-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S SOUTH ST STE 400",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304589",
            "telephone_number": "336-415-5126",
            "fax_number": "336-415-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISKA",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9701018",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NC",
            "license": "9701018",
            "primary": true
        }
    ],
    "identifiers": [
        {
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            "desc": "Other (non-Medicare)",
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            "identifier": "001011966003",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1055X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110153703",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "111395",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "75844",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890155X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHCARE PPO",
            "identifier": "142031",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1789230",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON BCBS OF VA",
            "identifier": "253533",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "277869",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "20412",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5892546",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.