Active NPI
Kathleen Sarah Krejci, MD
- Pediatrics Physician
- Pasadena, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 43310
- 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, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43310 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Pediatrics | Current | Accepting new patients |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | 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
- 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.
-
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1043378656
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
Pediatrics
-
- Emergency Medicine Physician
- Glen Burnie, MD
- NPI 1215983853
-
dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.