Kenneth A Krajewski, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Grand Rapids, MI
NPI 1154585172 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1154585172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 4301104456 (MI)
- Practice address
- 1534 Groton Rd SE
Grand Rapids, MI 49506-4754 - Phone
- (616) 685-5600
- NPI assigned
- Jul 18, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 31
Hospital & facility affiliations 38
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- University of Louisville School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Geisinger Clinic
Mymichigan Medical Center Sault
Guthrie Medical Group PC
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211
146 E Spruce St
Sault Sainte Marie, MI 49783-1822
Phone (906) 253-0113
1534 Groton Rd SE
Grand Rapids, MI 49506-4754
Phone (570) 888-5858
500 Osborn Blvd
Sault S Marie, MI 49783-1822
509 Osborn Blvd
Sault Sainte Marie, MI 49783-2069
Phone (906) 635-4401
509 Osborn Blvd
Sault Sainte Marie, MI 49783-2071
Hospital & facility affiliations
- Geisinger-Lewistown Hospital
- Upmc Cole
- Chippewa County War Memorial Hospital
- Geisinger Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140721000223 | MI | Practitioner - Hematology/Oncology | 6002045598 | Reassigns benefits to 2 organizations |
| I20211122001961 | PA | Practitioner - Hematology/Oncology |
6002045598 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna Physician Services | Current |
Accepting new patients | |
| Susquehanna Physician Services | Hematology & Oncology | Current |
Accepting new patients |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Hematology & Oncology | Current |
Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current |
Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Spectrum Health Hospitals | Past | Accepting new patients |
Locations
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350
100 N Academy Ave
Danville, PA 17822
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600
1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005
Interoperability endpoints
- kkrajewski91754@mymichiganhealth.midirect.net
- kkrajewski179809@direct-guthrie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD474077 | PA | |
| Hematology & Oncology Physician | 207RH0003X | 4301104456 | MI | Yes |
Addresses
Primary practice location
1534 Groton Rd SE
Grand Rapids, MI 49506-4754
Mailing address
1534 Groton Rd SE
Grand Rapids, MI 49506-4754
Other practice location 1
100 N academy Ave
Danville, PA 17822-9800
Phone (570) 271-6045
Other providers in Grand Rapids, MI
- Timothy A Kragt
- Travis Wade Kragt
- Ariel Beatrice Ramstad Krahn
- Cassidy R Krahulik
- Victoria Marie Krajenka
- Andrea Joy Kraker
- Kallie Rae Kraker
- Aliza Kramer
- Chase Kramer
- Helen Louise Kramer
All providers in Grand Rapids, MI · Hematology & Oncology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.