David Krojanker, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R9F18 Issued in MO

Practice address

1066 Executive Parkway Dr
Suite 110
Saint Louis, MO 63141-6340

Phone

(314) 205-1707

Fax

(314) 205-1733

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Compass Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • High Ridge, MO
  • NPI 1891040077
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1114900867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416340",
            "telephone_number": "314-205-1707",
            "fax_number": "314-205-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416340",
            "telephone_number": "314-205-1707",
            "fax_number": "314-205-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROJANKER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R9F18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202890414",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Kroenig, RPH
• Tracy Kroenlein, OT
• Danielle Denise Kroes, LCSW
• Kaitlyn Kroger, PA-C
• Donald Patrick Krohn, M.A.
• Hillary S Kroll
• Melissa Renae Kroll, MD
• Ryan Kromann, M.A, PLPC
• Courtney Grace Krone, CRNA
• Ronald J Krone, MD

• Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.