Individual provider Active NPI

Kathleen Sarah Krejci, MD

  • Pediatrics Physician
  • Pasadena, MD
National Provider Identifier
1114912730
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
43310 Issued in MN
Practice address
3100 Mountain Rd
Pediatric Place
Pasadena, MD 21122-2018
Phone
(410) 360-4446
Fax
(410) 360-4449
NPI assigned
Sep 20, 2005
Last updated
Nov 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 43310 MN Primary

Addresses

Primary practice location

3100 Mountain Rd
Pediatric Place
Pasadena, MD 21122-2018

Mailing address

965 Rustling Oaks Dr
Millersville, MD 21108-1800
Phone (410) 987-4176

Other names 1

  • Dr. Kathleen Sarah Neaves Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20080305000595 MD Practitioner - Pediatric MedicinePractitioner - Internal Medicine 0244223410 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43310MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jul 7, 2017 Accepting new patients
University of Maryland Community Medical Group, Inc. Pediatrics CurrentSince Apr 15, 2020 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Apr 15, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jul 7, 2017 Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600

219 S Washington St
Easton, MD 21601

7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

2101 E Jefferson St
#4E
Rockville, MD 20852

7141 Security Blvd
Windsor Mill, MD 21244
Phone (410) 281-6200

Interoperability endpoints

  • Direct secure messaging: kkrejci49701@direct.umm.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1114912730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RUSTLING OAKS DR",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081800",
            "telephone_number": "410-987-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MOUNTAIN RD",
            "address_2": "PEDIATRIC PLACE",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222018",
            "telephone_number": "410-360-4446",
            "fax_number": "410-360-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREJCI",
        "first_name": "KATHLEEN",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "43310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "NEAVES",
            "middle_name": "SARAH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.