Active NPI
Mark A Krich, MD
- Emergency Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 29213
- Practice address
- 350 W Thomas Rd
St. Joseph's Hospital
Phoenix, AZ 85013-4409 - Phone
- (602) 406-3000
- Fax
- (602) 406-7165
- NPI assigned
- Aug 3, 2006
- Last updated
- Aug 19, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 29213 | AZ | Primary |
Addresses
Primary practice location
350 W Thomas Rd
St. Joseph's Hospital
Phoenix, AZ 85013-4409
Mailing address
1241 W Mineral Ave
Suite 100
Littleton, CO 80120-5685
Phone (303) 759-0854
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 624032 | Medicaid | AZ | |
| P00033439 | Other | AZ | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Emergency Medicine
- Education
- New York University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032
P O Box
Suite 1201
Pine Ridge, SD 57770-1201
P O Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201
PO Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.82
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 84.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29213 | AZ | MD | Emergency Medicine Physician |
Practice roles
Locations
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
Interoperability endpoints
- makrich@direct.bbahc.org
Organizations & group practices 30
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.
-
dba Pine Ridge IHS Hospital
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
dba Phoenix Indian Medical Center
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
dba Rosebud Indian Health Service Hospital
- General Acute Care Hospital
- Rosebud, SD
- NPI 1194757369
TX
-
dba Ak-Chin Clinic
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
-
- Clinic/Center
- Platinum, AK
- NPI 1285796870
-
- Clinic/Center
- Levelock, AK
- NPI 1366502767
-
- Clinic/Center
- South Naknek, AK
- NPI 1417018193
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Dillingham, AK
- NPI 1831270842
-
- Critical Access Hospital
- Dillingham, AK
- NPI 1962688309
-
dba LaCreek District Clinic
- Clinic/Center
- Martin, SD
- NPI 1003208257
Hospital
-
dba Kyle Health Center
- Clinic/Center
- Kyle, SD
- NPI 1003963497
Hospital
-
dba Manderson Field Clinic
- Clinic/Center
- Manderson, SD
- NPI 1487701348
Hospital
-
dba Pine Ridge IHS Hospital
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
-
dba Wanblee Health Center
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1144238767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 W MINERAL AVE",
"address_2": "SUITE 100",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801205685",
"telephone_number": "303-759-0854",
"fax_number": "303-759-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W THOMAS RD",
"address_2": "ST. JOSEPH'S HOSPITAL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134409",
"telephone_number": "602-406-3000",
"fax_number": "602-406-7165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRICH",
"first_name": "MARK",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "29213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "624032",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00033439",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.