Individual provider Active NPI

Jane E Krasnick, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Warren, MI
National Provider Identifier
1124018296
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
4301067218 Issued in MI
Practice address
37130 Hoover Rd
Suite a
Warren, MI 48093
Phone
(586) 268-9222
Fax
(586) 268-9226
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 4301067218 MI Primary

Addresses

Primary practice location

37130 Hoover Rd
Suite a
Warren, MI 48093

Mailing address

31730 Hoover Rd
Suite a
Warren, MI 48093-1700
Phone (586) 268-9222

Other identifiers 5

IdentifierTypeStateIssuer
030500426OtherMIBCN
4450085MedicaidMI
030005365OtherMIRAILROAD MEDICARE
030500426OtherMIBCBS
G39644OtherMIHAP

Other names 1

  • Jane E Lux Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040116000081 MI Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5597666230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Allergy and Asthma Care, PCGroup PAC ID 2668558255, 2 clinicians

Practice addresses (Care Compare)

31730 Hoover Rd
A
Warren, MI 48093-1700

31730 Hoover Rd a
Warren, MI 48093-1700
Phone (586) 268-9222

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Allergy & Asthma Care PC CurrentSince Aug 21, 2002 Accepting new patients
Allergy & Asthma Management Center PC Allergy & Immunology Past Accepting new patients

Locations

31730 Hoover Rd
Ste A
Warren, MI 48093
Phone (586) 268-9222

31730 Hoover Rd
Warren, MI 48093

Interoperability endpoints

  • Direct secure messaging: jkrasnick1135226@direct.hfhs.org

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1124018296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31730 HOOVER RD",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480931700",
            "telephone_number": "586-268-9222",
            "fax_number": "568-268-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37130 HOOVER RD",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-268-9222",
            "fax_number": "586-268-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNICK",
        "first_name": "JANE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MI",
            "license": "4301067218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "030500426",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4450085",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "030005365",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "030500426",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "G39644",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "LUX",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.