Individual provider Active NPI

Andrew E Krupitsky, DO

  • Family Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1104936798
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5574 Issued in FL
Practice address
249 Maitland Ave
Suite 1000
Altamonte Springs, FL 32701-4906
Phone
(407) 332-6366
Fax
(407) 830-4300
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS5574 FL Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X OS5574 FL
Adult Medicine Physician 207QA0505X OS5574 FL
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS5574 FL

Addresses

Primary practice location

249 Maitland Ave
Suite 1000
Altamonte Springs, FL 32701-4906

Mailing address

249 Maitland Ave
Suite 1000
Altamonte Springs, FL 32701-4906
Phone (407) 332-6366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100506000197 FL Practitioner - Family Practice 2769482157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

249 Maitland Ave
Suite 1000
Altamonte Springs, FL 32701-4906

249 Maitland Ave
Suite 1000
Altamonte Springs, FL 32701-4908
Phone (407) 332-6366

Hospital & facility affiliations

  • Medical Services of America Home Health Home health agency, Winter Park, FL, CCN 108155
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
93.69 of 100Reported as individual
Quality
88.53
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS5574FLMDAdolescent Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew E Krupitsky DO PA CurrentSince Jun 9, 1999 Accepting new patients
Heathrow Internal Medicine LLC Family Medicine Past Accepting new patients

Locations

249 Maitland Ave
Ste 1000
Altamonte Springs, FL 32701
Phone (407) 332-6366

Interoperability endpoints

  • Direct secure messaging: andrew.krupitsky.1@12693.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12693/brand/2/csg/1/fhir/r4

Organizations & group practices 2

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 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1104936798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 MAITLAND AVE",
            "address_2": "SUITE 1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014906",
            "telephone_number": "407-332-6366",
            "fax_number": "407-830-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MAITLAND AVE",
            "address_2": "SUITE 1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014906",
            "telephone_number": "407-332-6366",
            "fax_number": "407-830-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPITSKY",
        "first_name": "ANDREW",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5574",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "OS5574",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS5574",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS5574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.