Active NPI
Kurt A Kralovich, MD
- Surgical Critical Care Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 4301056548
- Practice address
- 5301 E. Huron River Dr.
Ypsilanti, MI 48197 - Phone
- (734) 712-7017
- Fax
- (734) 712-2844
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 4301056548 | MI | |
| Surgical Critical Care Physician | 2086S0102X | 4301056548 | MI | Primary |
Addresses
Primary practice location
5301 E. Huron River Dr.
Ypsilanti, MI 48197
Mailing address
24 Frank Lloyd Wright Dr
PO Box 0446 Lobby J
Ann Arbor, MI 48106
Phone (734) 747-6766
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327165110 | Medicaid | MI | |
| KK056548 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 700H262310 | Other | BLUE CROSS-BLUE CROSS | |
| KK056548 | Other | CHAMPUS-CHAMPUS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Northeastern Ohio University College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Hospital & facility affiliations
- Henry Ford Health Hospital
- Henry Ford Macomb Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301056548 | MI | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Medical Center | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Iha Health Services Corporation | Surgery | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Henry Ford Health System | Surgery | Current | Accepting new patients |
| St Joseph Mercy Hospital | Surgery | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| Hurley Medical Center | Surgery | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Pathology Associates Inc PC | Current | Accepting new patients | |
| Henry Ford Maplegrove Center | Past | Accepting new patients |
Locations
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
2799 W Grand Blvd
#363
Detroit, MI 48202
Phone (313) 916-2020
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
2 Hurley Plz
Ste 109
Flint, MI 48503
Phone (810) 262-7300
2700 Robert T Longway Blvd
Ste H
Flint, MI 48503
Phone (810) 235-1746
1 Hurley Plz
#3D
Flint, MI 48503
Phone (810) 262-6046
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Interoperability endpoints
- kkralovich643292@direct.hfhs.org
Organizations & group practices 16
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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Otolaryngology Physician
- Ypsilanti, MI
- NPI 1659499705
-
- Surgery Physician
- Detroit, MI
- NPI 1508942525
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1558397653
-
- Surgery Physician
- Flint, MI
- NPI 1659323384
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1831140367
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Surgical Critical Care Physician
- Ypsilanti, MI
- NPI 1235659574
Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124181748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "PO BOX 0446 LOBBY J",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48106",
"telephone_number": "734-747-6766",
"fax_number": "810-760-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E. HURON RIVER DR.",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48197",
"telephone_number": "734-712-7017",
"fax_number": "734-712-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRALOVICH",
"first_name": "KURT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MI",
"license": "4301056548",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MI",
"license": "4301056548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327165110",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "KK056548",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262310",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "KK056548",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.