Individual provider Active NPI

Brennan David Kruszewski, MD

  • Internal Medicine Physician
  • Hudson, OH
National Provider Identifier
1144723925
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.140969 Issued in OH
Practice address
1320 Corporate Dr Ste 200
Hudson, OH 44236-4442
Phone
(330) 633-3883
Fax
(330) 926-5867
NPI assigned
Mar 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35.140969 OH Primary

Addresses

Primary practice location

1320 Corporate Dr Ste 200
Hudson, OH 44236-4442

Mailing address

1320 Corporate Dr Ste 200
Hudson, OH 44236-4442
Phone (330) 633-3883

Other identifiers 1

IdentifierTypeStateIssuer
0451022MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210722000872 OH Practitioner - HospitalistPractitioner - Internal Medicine 3072862051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unity Health Network LLCGroup PAC ID 0244379717, 59 clinicians

Practice addresses (Care Compare)

1320 Corporate Dr
Suite 200
Hudson, OH 44236-4442
Phone (330) 633-3883

1900 23Rd St
Cuyahoga Falls, OH 44223-1404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
77.19
Promoting interoperability
100
Improvement activities
40
Cost
78.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Network, LLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Unity Health Network, LLC CurrentSince Aug 1, 2021 Accepting new patients
Apogee Medical Group Ohio Inc Single Specialty CurrentSince Mar 15, 2022 Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

3609 Park East Dr
Ste 517
Beachwood, OH 44122
Phone (216) 831-6085

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 204
Cuyahoga Fls, OH 44223
Phone (330) 253-9727

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

1320 Corporate Dr
Ste 200
Hudson, OH 44236
Phone (330) 633-3883

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

Interoperability endpoints

  • Direct secure messaging: brennan.kruszewski@wrhs.eclinicaldirectplus.com

Organizations & group practices 3

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 5

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": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1144723925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CORPORATE DR STE 200",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364442",
            "telephone_number": "330-633-3883",
            "fax_number": "330-926-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CORPORATE DR STE 200",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364442",
            "telephone_number": "330-633-3883",
            "fax_number": "330-926-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSZEWSKI",
        "first_name": "BRENNAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-17",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.140969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.